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Home My WebLink About2018 Jun 14 - Tobacco Inspection Report - Flavored Tobacco ViolationLeanne Jacques Territory Sales Manager Field Sales MIR Altria Group Distribution Company Servicing: Philip Morris USA U.S. Smokeless Tobacco Company John Middleton 603 West Street 877 968-5323 Mansfield, MA 02048 508 360-4670 cell Leanne.M.Jacques@Altria.com 508 337-9907 fax MAHB Flavored Product Guidance List Updated 12/18/2017 PRODUCT TYPE BRAND NAME DATE ADDED Pipe Tobacco TATIANA CHERRY 10/1/2015 Pipe Tobacco TATIANA HONEY 10/1/2015 Pipe Tobacco TATIANA RUM 10/1/2015 Pipe Tobacco THE TOBACCO CENTER CHERRY CAVENDISH 10/1/2015 Pipe Tobacco TIJUANA SMALLS CHERRY 10/1/2015 Pipe Tobacco TOP VANILLA 10/1/2015 Pipe Tobacco TOP VALUE CHERRY 10/1/2015 Pipe Tobacco TOP VALUE VANILLA 10/1/2015 Pipe Tobacco VAN SAU N VANILLA 10/1/2015 Pipe Tobacco VINTAGE BLACK CAVENDISH' 10/1/2015 Pipe Tobacco VINTAGE BLACK&GOLD CAVENDISH 10/1/2015 Pipe Tobacco VINTAGE BUTTER RUM 10/1/2015 Pipe Tobacco VINTAGE CHERRY 10/1/2015 Pipe Tobacco VINTAGE VANILLA 10/1/2015 Pipe Tobacco VIRGINIAGOLD BLACK CAVENDISH 10/1/2015 Pipe Tobacco VIRGINIAGOLD BUTTERED RUM 10/1/2015 Pipe Tobacco VIRGINIAGOLD CHERRY CAVENDISH 10/1/2015 Pipe Tobacco VIRGINIAGOLD VANILLA 10/1/2015 Pipe Tobacco WILDFIRE CHERRY 10/1/2015 Pipe Tobacco WILDFIRE PEACH 10/1/2015 Pipe Tobacco WILDFIRE STRAWBERRY 10/1/2015 Pipe Tobacco WOLF BROTHERS RUM 10/1/2015 Smokeless/Dissolvable AMISH HONEY CURED 10/1/2015 Smokeless/Dissolvable APPLE SUN CURED APPLE 10/1/2015 Smokeless/Dissolvable ARIVA CINNAMON 10/1/2015 Smokeless/Dissolvable ARIVA CITRUS 10/1/2015 Smokeless/Dissolvable BEST BUY CHERRY 10/1/2015 Smokeless/Dissolvable BRUTON SCOTCH 10/1/2015 Smokeless/Dissolvable BUTTERCUP SWEET SCOTCH 10/1/2015 Smokeless/Dissolvable CAMEL SNUS SPICE 10/1/2015 Smokeless/Dissolvable CARHARTS SCOTCH 10/1/2015 Smokeless/Dissolvable CHECKERBERRY CHECKERBERRY 10/1/2015 Smokeless/Dissolvable COPE WHISKEY BLEND 10/1/2015 Smokeless/Dissolvable COPENHAGEN MOONSHINE 10/1/2015 Smokeless/Dissolvable COPENHAGEN SOUTHERN BLEND 1/5/2016 Smokeless/Dissolvable DENTAL MILD SCOTCH 10/1/2015 Smokeless/Dissolvable DENTAL SCOTCH 10/1/2015 Smokeless/Dissolvable DIXIE FRUIT 10/1/2015 Smokeless/Dissolvable GARRETT SCOTCH SCOTCH 10/1/2015 Smokeless/Dissolvable HELME SWEET SCTCH WLD CHRY 10/1/2015 Smokeless/Dissolvable HONEST SCOTCH 10/1/2015 Smokeless/Dissolvable HONEY BEE SWEET AS HONEY 8/17/2016 Smokeless/Dissolvable KAYAK APPLE 10/1/2015 Smokeless/Dissolvable KAYAK APPLE BLEND 10/1/2015 Smokeless/Dissolvable KAYAK GRAPE 10/1/2015 Smokeless/Dissolvable KAYAK PEACH 10/1/2015 Smokeless/Dissolvable LORILLARD SWEET SCOTCH 10/1/2015 Smokeless/Dissolvable MARLBORO SNUS SPICE 10/1/2015 Smokeless/Dissolvable NAVY SWEET SWEET SCOTCH 10/1/2015 Smokeless/Dissolvable OUR PRIDE APPLE 10/1/2015 Smokeless/Dissolvable OUR PRIDE PEACH 10/1/2015 Smokeless/Dissolvable PEACH PEACH 10/1/2015 Smokeless/Dissolvable RAILROAD MILLS CHECKERBERRY 10/1/2015 Smokeless/Dissolvable RAILROAD MILLS ISCOTCH 10/1/2015 9/18/17 GUIDANCE www.mahb.org/tobacco-control 12/18/17 GUIDANCE TOWN OF YARMOUTH FOOD ESTABLISHMENT INSPECTION REPORT BOARD OF HEALTH 1146 ROUTE 28 SOUTH YARMOUTH, MA 02664 Name `(Aafi .t _ a i 7 Date j �><�` 1` Type of Operationfsl Type of Inspection U Food Service Retail U Residential Kitchen U Mobile U Temporary U Caterer U Bed & Breakfast Permit No. Routine U Re -inspection Previous Inspection Date: U Pre-operation a Suspect Illness U General Complaint U HACCP U Other _ _ _ Address T+ C �=� vA Telephone / Owner HACCP Y/N Person in Charge (PIC V Time-,,/ tni a d"' Ou : Q Inspector Each violation checked requires an explanation on the narrative page(s) and a citation of specific provision(s) violated. Non-compliance with: Violations Related to Foodbome Illness Interventions and Risk Factors (Red items) Anti -Choking Tobacco Violations marked may pose an imminent health hazard and require immediate 590.009 (E) U 590.009 (F) U corrective action as determined by the Board of Health. FOOD PROTECTION MANAGEMENT ❑ 1. PIC Assigned / Knowledgeable / Duties EMPLOYEE HEALTH ❑ 2. Repotting of Diseases by Food Employee and PIC ❑ 3. Personnel with Infections Restricted/Excluded FOOD FROM APPROVED SOURCE ❑ 4. Food and Water from Approved Source ❑ 5. Receiving/Condition ❑ 6. Tags/Records/Accuracy of Ingredient Statements ❑ 7. Conformance with Approved Procedures/HACCP Plans PROTECTION FROM CONTAMINATION ❑ 8. Separation(Segregation/Protection ❑ 9. Food Contact Surfaces Cleaning and Sanitizing ❑ 10. Proper Adequate Handwashing ❑ 11. Good Hygienic Practices Violations Related to Good Retail Practices (Blue Items) Critical (C) violations marked must be corrected immediately or within 10 days as determined by the Board of Health. Non -critical (N) violations must be corrected immediately ore within 90 days as determined by the Board of Health. C IN 23. Management and Personnel (FC-2)(590.003) 24. Food and Food Protection (FC-3)(590.004) 25. Equipment and Utensils (FC-4)(590.005) 26. Water, Plumbing and Waste (FC-5)(590.006) 27. Physical Facility (FC-6)(590.007) 28. Poisonous or Toxic Materials (Fc-7)(590.006) 29. Special Requirements (590.009) ❑ 12._ Prevention of Contamination from Hands ❑ 13. Handwash Facilities PROTECTION FROM CHEMICALS ❑ 14. Approved Food or Color Additives ❑ 15. Toxic Chemicals TIME/TEMPERATURE CONTROLS (Potentially Hazardous Foods) ❑ 16. Cooking Temperatures ❑ 17. Reheating ❑ 18. Cooling ❑ 19. Hot and Cold Holding ❑ 20. Time as a Public Health Control REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP) ❑ 21. Food and Food Preparation for HSP CONSUMER ADVISORY ❑ 22. Posting of Consumer Advisories Number of Violated Provisions Related to Foodborne Illnesses Interventions and Risk Factors (Red Items 1-22): Official Orderfor Correction: Based on an inspection today, the items checked indicate violations of 105 CMR 590.000/ federal Food Code. This report, when signed below by a Board of Health member or its agent constitutes an order of the Board of Health. Violations not corrected are subject to fines per Yarmouth Board of Health. If aggrieved by this order, you have a right to a hearing. Your request must be in writing and submitted to the Board of Health at the above address within 10 days of receipt of this order. DATE OF RE -INSPECTION: Item No. Code Reference C -Critical Item R - Red Item DESCRIPTION OF VIOLATION / PLAN OF CORRECTION PLEASE PRINT CLEARLY Date Verified rTf'� wlohmoo o- YA v EAI�t u _ � cto GU.L-ATOi C�V t N(,- t AMA6F > CuI t1k0 G T) L6 �1DU 14fvt Discussion with Person in Charge: Correction Action Required: ❑ No jl Yes Voluntary Compliance ❑ Exclusion Restriction / ❑ Re -inspection Scheduled ❑ Emergency Suspension El Embargo ❑ Emergency Closure U Voluntary Disposal 0 Other PaA ii