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PULEOS DAIRY - ESTABLISHMENTS 34 ftNIVERSAL® UNV-12110 MADE IN USA SUSTAINABLE MRL RECypID® RESTRY IrnnnFOmrc CoMfied AWSomein FT BA wwx Mp qop m9 l�ul:+Ai R u =_ The Commonwealth of Massachusetts -_ Executive Office of Health and Human Services Department of Public Health ` Bureau of Environmental Health- Food Protection Program DEVALL.PATRICK 305 South Street, Jamaica Plain, MA 02130-3597 GOVERNOR 61 y�'r,Z-671 2 617-983-6770 - Fax . MURRAY LIEnUTT NANOTHYT GOVERNOR a7 �s,``, � JUDYANN BIGBY,MD DEC 21 t® n 9 SECRETARY ll JOHN COMMISSIONERH BARD OF NECK nqN Charles Puleo December 19, 2011 Puleo's Daily 376 Highland Ave. Salem,MA 01970 Dear Mr. Pu leo: On November 29, 2011 milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance,2007 Recommendations(PMO) is three hundred thousand(300,000)colonies per cubic centimeter, (100,000 for individual producer milk). For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole, Lowfat& Skim Milk 20,000 10 Flavored Whole, Lowfat& Skim Milk 20,000 10 Cream,Half& Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results, please call the Dairy Plant Inspection Unit at(617)983=6751. Sincerely, //' 4/ J Ellen A. Fitzgibbon Supervisory Food and Drug Inspector cc: Board of Health Dairy Plant Inspection Unit S.\B u reau\Fpp\Dairy\SAMPLETR\DyS m pl Ltr.doc MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: James Hope Zip: _01970 Phone: 978-744-6455 Time In: 8:20 AM Time Out: 9:15 AM Received in Lab by: RD Date:11/29/2011 Time:12:44 Rec'd Temp. Controlw:: RaWATER.1.5°C ' C Past. 1.5 Date Tested: 11/29/2011 Time Tested:1:00 Temp. Control at Testing: Raw:WATER 1.5°C ° C Past.:1 5 ° C DATE REPORTED. 12/01/2011 ANALYST(S): Tudor C iiorean REVIEWED BY: RTD educt Information - Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type Type Temp. I] or other Sample# or gram or gram NgimL 11/29/2011 XXX Chocolate Quart Plastic 34°FI 10-Dec 11/29/2011 ( XXX Sweet Water I 4 oz. Vial 57°FI Tank Raw Milk I Not Available - - - 11/29/2011 IJH-998 I Homo I 1/2 Gallon Plastic I 344 10-Dec 11D-1298 I <1EPCC <250 EPAC NF I NF 11/29/2011 IJH-999 I Skim I Quart Glass I 34°FI 10-Dec 11D-1299 I <1EPCC 2100 NF I NF 11/29/2011 IJH-1000 I Chocolate I Quart Plastic I 34°FI 10-Dec 11D-1300 I <1EPCC I _ 250 EPAC NF I NF 11/29/2011 IJH-1001 Light Cream I 1/2 Gallon Plastic 34°FI 10-Dec 11D-1301 I <1EPCC llI <250 EPAC NF I NF 11/29/2011 IJH-1002 I Sweet Water Il 4oz. Vial I 57°FI Tank 11D-1302 I <1/100ML1 'NA I NA I NA I 11/29/2011 IJH-1003 I Glass Bottle I 1/2 Gallon Glass I NA I NA 11D-1303I <2RCC I <10RBC I NA I NA 11129/2011IJH-1004 I Empty Vial I 4 oz. Vial I NA I NA 11D-1304_I <2RCC I <10RBC I NA I NA I I I I 1 I I I I I I I I I I I I I I *'Individual Producer XXX=Temp. Control "=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader Commonwealth of Massachusetts City of Salem Board of Health Kimberley Driscoll 120 Washington Street,4th Floor Mayor SALEM,MA. 01970 Food/Retail Establishment Permit DATE PRINTED: 12/19/2011 ESTABLISHMENT NAME: Puleo's Dairy File Number:BHF-2003-000023 376 highland Avenue Salem MA 01970 LOCATED AT: SALEM, MA 01970 Permit;T,ype Permit No. Permit Issued Permil:Expires Fee Restrictions/Notes FROZEN DESSERTS BHP-2012.0087 Jan 1,2012 Dec 31,2012 $25.00 Pasteurization BHP-2012-0088 Jan 1,2012 Dec 31,2012 $5.00 Total Fees,: $30.00 PERMIT EXPIRES December 31, 2012 Board of Health This Permit is not transferable and must be reissued upon change of ownership or location.The permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code,beofre any revonations,improvements,or equipment changes are made, all plans for-such must be submitted to and approved by the Salem Board of Health. Page 1 f t . CITY OF SALEM, MASSACHUSETTS + • BOARD OF HEALTH 120 WASHINGTON STREET,4°1 FLOOR TEL. (978) 741-1800 KlABERLEY DRISCOIJ F x(978) 745-0343 MAYOR LRAM DINnn SA1.FNt.00Nt LARRY RSI IAN,RS/RI_sl-IS,0-10,CP-PS HI?Ai PI-I AGENT 2011APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT NAME OF ESTABLISHMENT /ter/hLt��O C�t1 t TEL# ADDRESS OF ESTABLISHMENT 5 /� G�.�/`v wr/ a'Y _ FAX# 139/r[ r- MAILING ADDRESS(if different) EMAIL-Business': / Website: OWNER'S NAME �/�7%�r/L/77 /�/ /i�/r,� TEL C'2 ADDRESS �l2Go��nr� �� fJ2�ir1 /7l/f /Ji�jv ST EET CITY STATE ZIP CERTIFIED FOOD MANAGER'S NAME(S) CERTIFICATE#(S) (Required in an establishment where potentially hazardous food is prepared) EMERGENCY RESPONSE PERSO��?//Z-7v&e-Q /nO�G C,� HOME TEL# 97CY- I DAYS OF OPERATION I Monday I Tuesday Wednesday 1 Thursday I_ Friday Saturday Sunday_ f HOURS OF OPERATION Please write in time of days (For example 11am-11 pm) TYPE OF ESTABLISHMENT FEE (check onlvl RETAIL STORE YES NO less than 1000sq.ft. =$70 1000-10,000sq.ft. =$280 more than 10,000sq.ft. =$420 --- - - --------------------------------------------------------O-------------------------------------------- less than--2-5---s-eat------------------=-$14----------------------------------- RESTAURANT YES Ns 0 (Outdoor Stationary Food Cart$210) 25-99 seats =$280 more than 99 seats =$420 BED/BREAKFAST/ YES NO $100 CHILDCARESERVICES/NURSING HOMES ------------------------------- ------ ADDITIONAL PERMITS MAKE (not just serve) ICE CREAM, YOGURT/SOFT SERVEES NO $25' TOBACCO VENDOR NO PASTURIZATION(PULEO'S) NO $10! ALL NON-PROFIT(such as church kitchens) 'VES NO `Please pay total with one check payable to the City of Salem. This Permit is not transferable and must be reissued upon change of ownership.The Permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code, before any renovations, improvements,or equipment changes are made,all plans for succi must be ubmitted fo a`nd•�pproved by the Salem Board of Health.Pursuant to MGL Chapter 62C,Section 49A, certify under the pains and penalties of perjury that 1,to my best knowledge and belief,have filed all state tax returns and aid al•state taxes required oder the law. SigOa[ur�`-� Date Social Security or Federal Identification Number Updated 523/11 FOODAP201 I.adm Check#&Date 1 $ �- The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Bureau of Environmental Health Food Protection Program DEVAL L.PATRICK 305 South Street, Jamaica Plain, MA 02130-3597 GOVERNOR 617-983-6712 617-983-6770 - Fax TIMOTHY P. MURRAY LIEUTENANT GOVERNOR JUDYANN BIGBY,MD SECRETARY JOHN AUERBACH COMMISSIONER Charles Puleo J114 ®� July 7,2011 Puleo's Dai"ry`� 8 C�� 820 �® X376 Highland Ave. Oq9 0��Sq P �� Salem,MA 01970 PH�<H Dear Mr. Puleo: On June 14 and 28, 2011 milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 2007 Recommendations(PMO)is three hundred thousand (300,000)colonies per cubic centimeter, (100,000 for individual producer milk). For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole, Lowfat& Skim Milk 20,000 10 Flavored Whole, Lowfat& Skim Milk 20,000 10 Cream, Half&Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results, please call the Dairy Plant Inspection Unit at(617)983-6751. Sincerely, �A,A- 0.�j7 Ellen A. Fitzgibbons Supervisory Food and Drug Inspector cc: Board of Health Dairy Plant Inspection Unit S:\Bureau\Fpp\Dairy\SAMPLETR\DySmpiLtr.doc 1' MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: James Hope Zip: 01970 (Phone: 978-744-6455 Time In: 8,40am ITime Out 9:30am Rec'd by: Pate Redd: 6/14/11 Time Rec'd: 12:50 PM Redd p. Control- Raw-2.7'C Past 0.9'C Water: N/A Tested By: MRH RH Date Tested: 6/14/11 (Time Tested: 1:00PM Temp Control t Testing (Raw: 2.7'C IPast: 0.9°C I Water: N/A Reported By: MRH/DZGIDate Reported 6/16/11 IREVIEWED BY: RTD ' I Product Information Laboratory Results Date DFD Sample Code#or Coli/mL or I Phosphatase` Collected Samele# Product Tvpe Container Type Temp other Lab Sample# gram SPC/mL or gram Inhibitors qmL 1 6/14/11 XXX Raw Milk 4 oz.Vial 45`F Tank NA NA NA NA NA 6/14/11 XXX Skim Quart Plastic 34"F 18-Jun NA NA NA NA NA 6/14/11 JH-495 Raw Milk 4 oz.Vial 45"F Tank 11D-631 NA 1>2,000,000 EPAC' NF NA 6/14/11 JH-496 Homo 1/2 Gallon Plastic 34°F 25-Jun 11 D-632 I <1 EPCC I <250 EPAC NF I NF I 1 6/14/11 JH-497 Skim 1/2 Gallon Glass 1 34°F1 25-Jun 11 D-633 I <1 EPCC7 I <250 EPAC NF I NF I I 6/14/11 JH-498 Chocolate Quart Plastic I 34°Fl 25-Jun 11D-634 I <1 EPCC I <250 EPAC I NF I NF 6/14/11 JH-499 Lipht Cream 1/2 Gallon Plastic I 34'FI 25-Jun 11D-635 I <1 EPCC 1 4400 1 NF I NF 6/14/11 IJH-501 I Glass Bottle I 1/2 Gallon Glass I NAI NA 11D-636 I <5 RCC I <25 RBC I NA I NA I I I I I I I I I I I I I I I I I I I I I Notes: XXX=Temp. Control '=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC= MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Reason for Collection: Routine Address: 376 Highland Ave Responsible Plant Person: Chuck Puleo Salem, MA Inspector: Michael Wall Zip: 01970 jPhone: 978-744-6455 ITime In: 6:30 AM Time Out: 7:00 AM Rec'd by: ZG Date Time Tested By: (Date TRested.6/28//111 (Time Tested : 2:0ITemp REVIEWEDol a Testing (Raw: (Past: (Water: 2.5°C Reported By: Date Reported Temp. Control: I Raw: Past: Fater: 1.00C Product Information Laboratory Results Date Sample Code#or Coli/mL or SPC/mL or Phosphatase Collected DFD Sample# Product Twe Container Tvpe Temp other Lab Sample# gram qram Inhibitors p9/mL 6/28/11 XXX Sweet Water 4 oz.Vial 38°F Tank 6/28/11 MW-5649 Sweet Water 4 oz. Vial 38°F Tank 11D-668 <1/100 ml NA NA NA 6/28/11 MW-5650 Empty Vial 4 oz. Vial NA NA 11D-669 <2 RCC <10 RBC NA NA XXX=Temp. Control *=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name. Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: James Hope Zip: _01970 Phone: - 978-744-6455 Time In: 1:20 PM Time Out: 2:20 PM Received in Lab by: RBA Date:11/30/10 Time:9:00 AM Recd Temp. Control: Raw: NA Water: 1.5° C Past.: 2.0° C Date Tested: 11/30/10 Time Tested:11:50 AM Temp. Control at Testing:Raw: NA Water: 2.0° C Past.: 2.0' C DATE REPORTED:12/3/10 ANALYST(S):RBA REVIEWED BY:RBA oduct Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 11/29/2010 XXX Chocolate Quart Plastic 35°F 11/29/2010 XXX Sweet Water 4 oz.Vial 57"F Tank 11/29/2010 JH- Raw Milk Not Available °F ;.' 4 . -• ,. .. . .. . . .. 11/29/2010 JH-950 Homo Quart Glass 35°F 11-Dec 1OD-1378 <1 EPCC <250 EPAC NF NF 11/29/2010 JH-951 Skim Quart Glass 35"F 11-Dec 10D-1379 <1 EPCC <250 EPAC NF NF 11/29/2010 JH-952 Chocolate Quart Plastic 35°F 11-Dec 1OD-1380 <1 EPCC 2,200 NF NF 11/29/2010 JH-953 Light Cream 1/2 Gallon Plastic 35°F 11-Dec 1OD-1381 <1 EPCC 1,200 NF NF 11/29/2010 JH-954 Sweet Water 4 oz. Vial 57"F Tank 1OD-1382 <1/100ML NA NA NA 11/29/2010 IJH-955 Egg Nog Quart Plastic 35°F 25-Dec 1OD-1383 <1 EPCC <250 EPAC NA NF ** Individual Producer XXX=Temp. Control *=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader r , -CA ^r 3y Commonwealth of Massachusetts City of Salem Board of Health Kimberley Driscoll 120 Washington Street,4th Floor Mayor SALEM,MA 01970 Food/Retail Establishment Permit DATE PRINTED: 01/04/2011 ESTABLISHMENT NAME: Puleo's Dairy File Number:BHF-2003-000023 376 Highland Avenue Salem MA 01970 LOCATED AT: SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions/Notes FROZEN DESSERTS BHP-2011-0149 Jan 1,2011 Dec 31,2011 $25.00 Pasteurization BHP-2011-0150 Jan 1,2011 Dec 31,2011 $10.00 Total Fees: $35.00 PERMIT EXPIRES IDecember 31, 2011 Board of Health This Permit is not transferable and must be reissued upon change of ownership or location.The permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code,beofre any revonations,improvements,or equipment changes are made, all plans for such must be submitted to and approved by the Salem Board of Health. Page 1 CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"'FLOOR TEL. (978) 741-1800 KITABERLEY DRISCOLL FAx (978) 745-0343 N1AY0R Dc1u I JL1nuM n_,SALENL CONI DANFID GREENBAum,RS ACTING HEALTH AGENT 2011 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT NAME OF ESTABLISHMENT ► ��D f` v�// TEL# ADDRESS OF ESTABLISHMENT 7:376' J�i�/` � /'f - FAX# MAILING ADDRESS(if different) EMAIL- Business': / / Website: OWNER'S NAME ( _ �7.nrG2�/77 P/dLCn TEL# ADDRESS STREET CITY STATE ZIP CERTIFIED FOOD MANAGER'S NAME(S) CERTIFICATE#(S) (Required in an establishment where potentially hazardous food is prepared) / c�J EMERGENCY RESPONSE PERSON / -2�4e-!j ®f/G2"� HOME TEL# I%:DAYS'OF'OPERATION,711•i Monday'-. '!_ Tuesday" ! Wednesdaye I=.`;Thursdaylif> Friday; ;-I, :';>Sit urday..::=;_ ° Sunday,.> HOURS OF OPERATION - Please write in time of day. (For example 11 am-11pm) TYPE OF ESTABLISHMENT FEE (check onlvl RETAIL STORE YES NO less than 1000sq.ft. =$ 70 1000-10,000sq.ft. =$280 more than 10,000sq.ft. =$420 ---------------------------------------------------------------------------------------------------------------I e------------------------------------------------ RESTAURANT YES NO less than 25 seats =$140 (Outdoor StaUonary Food Cart$2101 25-99 seats =$280 more than 99 seats =$420 BED/BREAKFAST/ YES NO $100 CHILDCARE SERVICES/NURSING HOME----------------------------------------------------------- ]t�J_zL9 t ✓I-. ---- - 1..d...-- ----.--- ADDITIONAL PERMITS MAKE (not just serve) ICE CREAM, YOGURT/SOFT SERVE YES NO TOBACCO VENDOR YES NO $135 ALL NON-PROFIT(such as church kitchens) YES NO $25 'Please pay total with one check payable to the City of Salem. This Permit is not transferable and must be reissued upon change of ownership.The Permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code, before any renovations,improvements, or equipment changes are made,all plans for be submitted to and approved by the Salem Board of Health. Pursuant to hapter 62C,Section 49A,I certify under the pains and penalties of perjury that I,to my best knowledge and belief,have filed all state tax retums and i state taxes r uire nder the law. Tigna �L' Date Social Security or Federal IdenTlfcation Number Revised 1017111 FOODAP201 Ladm Check#&Date �- The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Bureau of Environmental Health Food Protection Program DEVAL L. PATRICK 305 South Street, Jamaica Plain, MA 02130-3597 GOVERNOR 617-983-6712 617-983-6770 - Fax TIMOTHY P.MURRAY LIEUTENANT GOVERNOR JUDYANN BIGBY,MD SECRETARY JOHN AUERBACH COMMISSIONER Charles Puleo July 21, 2010 Puleo's Dairy 376 Highland Ave. Salem, MA 01970 Dear Mr, Puleo: On June 29, 2010 milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance,2007 Recommendations(PMO)is three hundred thousand(300,000)colonies per cubic centimeter, (100,000 for individual producer milk). For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK &MILK PRODUCTS PLATE COUNT COUNT Whole, Lowfat& Skim Milk 20,000 10 Flavored Whole, Lowfat& Skim Milk 20,000 10 Cream,Half&Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results, please call the Dairy Plant Inspection Unit at(617)983-6751. Sincerel , Ellen A. Fitzgibbons r / Supervisory Food and Drug Inspector cc: Board of Health Dairy Plant Inspection Unit S:\Bureau\Fpp\Dairy\SANWLETR\DySmpILtr.doc MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: James Hope Zip: _01970 Phone: 978-744-6455 Time In: 10:40 AM Time Out: ####### Received in Lab by: RBA Date:6/29/10 Time:2:00 PM Rec'd Temp. Control: Raw:NA Water: 2.0° C Past.: 2.0°C Date Tested: 6/29/10 Time Tested:2:45 PM Temp. Control at Testing: Water: 2.0°C Past.: 2.0' C DATE REPORTED: 67/2/10 ANALYST(S):RBA REVIEWED BY:RBA oduct Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL (Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 6/29/2010 XXX Chocolate Quart Plastic 40°F 3-Jul 6/29/2010 XXX Sweet Water 4 oz.Vial 55°F Tank 6/29/2010 JH- Raw Milk Not available °F 6/29/2010 JH-503 Homo Quart Plastic 40°F 10-Jul 10D-685 <1 EPCC <250 EPAC NF NF 6/29/2010 JH-504 Skim Quart Glass 40"F 17-Jul 1OD-686 <1 EPCC <250 EPAC NF NF 6/29/2010 JH-505 Chocolate Pint Plastic 40"F 10-Jul 1OD-687 <1 EPCC 700 NF NF 6/29/2010 IJH-506 I Light Cream Pint Plastic 40°F 10-Jul 1OD-688 <1 EPCC 370 NF I NF 6/29/2010 IJH-507 I Sweet Water 4 oz. Vial 55°F I Tank 1OD-689 I <1 /100ML NA NA I NA 6/29/2010 IJH-508 I Glass Bottle Quart Glass No SAMPLES " Individual Producer XXX=Temp. Control '=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader Microbac Laboratories, Inc. Pagel of2 MASSACHUSETTS DIVISION 100 Barber Avenue Worcester,MA 01606 aC (508)595-0010 Fax(508)-595-0008 Microb Nancy Burnett,Lab Director www.microbac.com E-Mail:massachusetts@microbac.com microbac.com CHEMISTRY MICROBIOLOGY • FOOD SAFETY' CONSUMER PRODUCTS WATER AIR WASTES •FOOD•PHARMACEUTICALS •NUTRACEUTICALS J CERTIFICATE OF ANALYSIS PULEO'S DAIRY Date Reported 6/2/2010 CFIUCK PULEO Ah Date Received 5/28/2010 . t 376 HIGHLAND AVE Sample ID 1005-00642 SALEM,MA 01970 Invoice No. 61260 J�H0 Cust# P465 ` Cust P.O.# Subject ICE CREAM SAMPLES FOR TESTING 5/28/10 . Sampled By: CLIENT Date 5/27/2010 Time Test Result Date Time Tech Method 001 -Sample Collected 5/27/2010 12:00A0AM yyvy Y1,i{ VANILLA Coliform <1 CFU/gram 5/29/2010 17:00 LBL SMEDP,AOAC This sample PASSED MaDPH Requirements Standard Plate Count 40 CFU/gram 5/29/2010 17:00 LBL SMEDP,AOAC This sample PASSED MaDPH Requirements 002' ,-Sample Collected: ",.�5/27/2010 :::112:0O:OOAM r- 'a'' :},` .'.'"":.•' _ —.. `''_ ;- - - - """ . . - - . Coliform a� <1 CFU/gram 5/29/2010 17:00 LBL SMEDP,AOAC This sample PASSED MaDPH Requirements Standard Plate Count 500 CFU/gram 5/29/2010 17:00 LBL SMEDP,AOAC This sample PASSED MaDPH Requirements 003 ;-Sam Ple Coll5/27/2010 _ - ected: -�'.,": „ _ <. ..K.: •:.. ..w v.wda vrt:�.Mcr,.< .:b,v» :-4k .0�i2'`-. f.i:'•. P1t -' i= _ HEATH BAR Coliform <1 CFU/gram 5/29/2010 17:00 LBL SMEDP,AOAC This sample PASSED MaDPH Requirements Standard Plate Count 40 CFU/gram 5/29/2010 17:00 LBL SMEDP,AOAC This sample PASSED MaDPH Requirements 004_ Sample Collected: :'5/27/2010, :U 00 OOAM''' -* _ - - — - .. - --- '- $ .BANANA NUT :, �_.... Coliform <1 CFU/gram 5/29/2010 17:00 LBL SMEDP,AOAC This sample PASSED MaDPH Requirements Standard Plate Count 40 CFU/gram 5/29/2010 17:00 LBL SMEDP,AOAC The data and mformahon on this,and other accompanying documents,represent only the sample(s)analyzed and a rendered upon condmon MEMBER that it Is not to he reporduced wholly or In part for advertising or other)urposes without approval from the laboratory. roG�iaL USDA-EPA-NIOSH Testing Food Sanitation Consulting Chemical and Microbiological Analyses and Research Microbac Laboratories, Inc. Page 2 of 2 MASSACHUSETTS DIVISION 100 Barber Avenue Worcester,MA 01606 Microbac (508)595-0010 Fax(508)-595-0008 Nancy Burnett,Lab Director www.microbac.com E-Mail:massachusetts@microbac.com CHEMISTRY • MICROBIOLOGY• FOOD SAFETY- CONSUMER PRODUCTS WATER•AIR•WASTES -FOOD •PHARMACEUTICALS •NUTRACEUTICALS J CERTIFICATE OF ANALYSIS PULEO'S DAIRY Date Reported 6/2/2010 CHUCK PULEO Date Received 5/28/2010 376 HIGHLAND AVE Sample ID 1005-00642 SALEM,MA 01970 Invoice No. 61260 Cust# P465 Cust P.O.# Subject ICE CREAM SAMPLES FOR TESTING 5/28/10 Sampled By: CLIENT Date 5/27/2010 Time Test Result Date Time Tech Method 004_'•:Sample Collected: -''S/27/2010-'i'. 12:00:OOAM - BANANA NUT c yy 3 `. ...continued This sample PASSED MaDPH Requirements Massachusetts DPH Requirements Temperature Conversions Category Limit <0 C=Below Freezing Coliform 50 0 Degree C=32 Degree F Standard Plate Count 50000 5 Degree C=41 Degree F 10 Degree C=50 Degree F 15 Degree C=59 Degree F This report has been reviewed and is electronically signed by: Nancy Burnett Laboratory Director The data and information on this,and other accompanying documents,represent only the sample(s)analyzed and is rendered upon condition MEMBER that it Is not to be reporduced wholly or in part for advertising or other purposes without apPra'al from the laboratory. USDA-EPA-NIOSH Testing Food sanitation consulting Chemical and Microbiological Analyses and Research Commonwealth of Massachusetts s City of Salem Board of Health 120 Washington Street,4th Floor Kimberley DriscollMayor SALEM,MA 01970 Foo"etail Establishment Permit DATE PRINTED: 04/01/2010 ESTABLISHMENT NAME: Puleo's Dairy File Number:BHF-2003-000023 376 Highland Avenue Salem MA 01970 LOCATED AT: SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions/Notes FROZEN DESSERTS BHP-2010-0396 Apr 1,2010 Dec 31,2010 $25.00 Pasteurization BHP-2010-0049 Jan 4,2010 Dec 31,2010 $10.00 Total Fees: $35.00 PERMIT EXPIRES IDecember3l, 2010 Board of Health J This Permit is not transferable and must be reissued upon change of ownership or location.The permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code,beofre any revonations,improvements,or equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Page 1 k ' Commonwealth of Massachusetts City of Salem Board of Health Kimberley Driscoll 120 Washington Street,4th Floor Mayor SALEM,MA 01970 Food/Retail Establishment Permit DATE PRINTED: 01/04/2010 ESTABLISHMENT NAME: Puleo's Dairy File Number:BHF-2003-000023 376 Highland Avenue Salem MA 01970 LOCATED AT: SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions/Notes Pasteurization BHP-2010-0049 Jan 4,2010 Dec 31,2010 $10.00 Total Fees: $10.00 PERMIT EXPIRES (December 31,2010 Board of Health This Permit is not transferable and must be reissued upon change of ownership or location.The permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code,beofre any revonations,improvements,or equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Page 1 Pas-" 2c0 �Iv� CITY OF SALEM, MASSACHUSETTS » BOARD OF HEALTH 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL FAx(978) 745-0343 MAYOR DGREENBAUMOSALEM.CONI DAVID GREENBAUM, - ACTING HEALTH AGENT 2010 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT e. NAME OF ESTABLISHMENT /7/,��S v/,/" TEL# 77C— 7�/r/ 6 ADDRESS OF ESTABLISHMENT 37e6 i 9/�� ^" FAX# MAILING ADDRESS(if different) EMAIL- Business': -- Website: OWNER'S NAM��/ /4C64LL L P,--� TEL# �f7� 49&f ADDRESS �/�/ZjFhl�7.r/ G2_oia�l STREET CITY STATE ZIP CERTIFIED FOOD MANAGER'S NAME(S) CERTIFICATE#(S) (Required in an establishment where potentially hazardous food is prepared) EMERGENCY RESPONSE PERSON HOME TEL# pAYSFOFOPERA710(J.%{" ffidayn i;Jj9.,tpe'sday W)NeCneslay, ` Tthtirs'd'a"9.- 2 Fijdir IMSaturday '<;; Synllaym )l HOURS OF OPERATION Please write in time of day. (For example 11 am-11 pm) TYPE OF ESTABLISHMENT FEE (check onlv)- RETAIL STORE YES NO less than 1000sq.ft. =$ 70 1000-10,000sq.1t. =$280 more than 10,000sq.ft. =$420 R---E--S--T--A---U--R---A--N---T----------------------------YES------NO---------------------------------------------e--s--s--than---2-5---se-a-ts---------------=-1-40----- (Outdoor Stationary Food Cart$210) 25-99 seats =$280 more than 99 seats =$420 ------------------------------------------------------------------------------------------------------------------------------ BEDIBREAKFAST/ YES NO $100 CHILDCARE SERVICES/NURSING HOME----------------------------------------------------- -- - ----------- ----- ----- - -------------------------- ADDITIONAL PERMITS MAKE (notjust serve) ICE CREAM, YOGURT/SOFT SERVE YES NO $25 TOBACCO VENDOR YES NO $1 5 ALL NON-PROFIT(such as church kitchens) YES NO �/$25 'Please pay total with one check payable tb the ofS lem. This Permit is not transferable and must be reissued upon change of ownership.The Permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code, before any renovations, improvements,or equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. P uant MGL Chapter 62C,Secli 49A, certify under the pains and penalties of perjury that I,to my best knowledge and belief,have filed all state lax urns and p id al state-t'ies requir under the law. tea- o9 oL4 D L4 0 i 1a Siigt� Date Ti Social Security or Federal Identification Number Revised 424/07 FOODAP2008.adm Check#&Date J - The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Bureau of Environmental Health Food Protection Program DEVAL L.PATRICK 305 South Street, Jamaica Plain, MA 02130-3597 GOVERNOR 617-983-6712 617-983-6770 - Fax TIMOTHY P.MURRAY LIEUTENANT GOVERNOR JUDYANN BIGBY,MD SECRETARY JOHN AUERBACH COMMISSIONER "-' -" -2-••;,,® D Charles Puleo December 24,2009 Puleo's Dairy DEC J g 2009 376 Highland Ave. ALEM Salem, MA 01970 ,HEALTH Dear Mr. Puleo: On December 1, 2009 milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 2007 Recommendations(PMO)is three hundred thousand(300,000)colonies per cubic centimeter, (100,000 for individual producer milk). For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole, Lowfat& Skim Milk 20,000 10 Flavored Whole,Lowfat& Skim Milk 20,000 10 Cream, Half&Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report, The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results,please call the Dairy Plant Inspection Unit at(617)983-6751. Sincerely, Ellen A. Fitzgibbons Supervisory Food and Drug Inspector cc: Board of Health Dairy Plant Inspection Unit S:\Bureau\Fpp\Dairy\SAMPLETR\DySmpILtr.doe MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 I Reason for Collection: Routine Address: 376 Highland Ave. IJ Responsible Plant Person. Chuck Puleo Salem, MA I Inspector: James Hope Zip: _01970 Phone: 978-744-6455 I Time In. 8:20 AM Time Out: 9:10 AM Received in Lab by: SW Date:12/1/09 Time:1:30 f Recd Temp. Control: Raw:NA Water: 1.5° C Past.. 1.5" C Date Tested: 12/2/09 Time Tested:11 45AM Temp. Control at Testing:Raw: NA Water: 2.0°C Past.: 2.0' C DATE REPORTED:12/8/09 ANALYST(S)RBA, SW REVIEWED BY:RBA oduct Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 12/1/09 XXX Orange Juice Quart Plastic 35°F 12/1/09 XXX Sweet Water 4 oz. Vial 34°F Tank 12/1/09 JH- I Raw Milk Not Available °F I 12/1/09 JH-987 I Homo Quart Plastic I 35°FI 12-Dec 09D-1391 1 <t EPCC 9,200 NF NF 12/1/09 IJH-988 I Skim I Quart Plastic 1 35°F1 12-Dec 09D-1392 1 <1 EPCC <250 EPAC I NF NF 12/1/09 IJH-989 I Chocolate I Pint Plastic I 35°F1 12-Dec 09D-1393 I <1 EPCC I 760 I NF I NF 12/1/09 IJH-990 I Light Cream 1 1/2 Gallon Plastic I 35°FI 12-Dec 09D-1394 I <1 EPCC I 890 I NF I NF 1 12/1/09 IJH-991 I Sweet Water 1 4 oz.Vial 1 34°F1 Tank 09D-1395 1 11/100ML I NA I NA I NA 12/1/09 IJH-993 I Egg Nog I Pint Plastic 1 35°FI, 2-Jan 09D-1396 I <1 EPCC I <250 EPAC I NA I NF I f I I I I I I I I I I I I I I I I I I I I i I I **Individual Producer XXX=Temp. Control *=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader i = The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Bureau of Environmental Health Food Protection Program DEVAL L. PATRICK 305 South Street, Jamaica Plain, MA 02130-3597 GOVERNOR 617-983-6712 617-983-6770 - Fax TIMOTHY P. MURRAY LIEUTENANT GOVERNOR JUDYANN BIGBY,MD SECRETARY JOHN AUERBACH 'JUL 9 g 2009 COMMISSIONER cllYl vl Charles Puleo July 7, 2009 60ARD t1EALTFi Puleo's Dairy 376 Highland Ave. Salem, MA 01970 Dear Mr. Puleo: On June 23, 2009 milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance,2007 Recommendations(PMO) is three hundred thousand (300,000)colonies per cubic centimeter, (100,000 for individual producer milk). For graded pasteurized milk and milk products, the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole, Lowfat& Skim Milk 20,000 10 Flavored Whole, Lowfat& Skim Milk 20,000 10 Cream, Half&Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results, please call the Dairy Plant Inspection Unit at(617)983-6751. Sincerely, I� � �� Ellen A. Fitzgibbons Supervisory Food and g Inspector cc: Board of Health Dairy Plant Inspection Unit S\Bureau\Fpp\Dairy\SAMPLETR\DySmplLtr.doc MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 I Reason for Collection: Routine Address: 376 Highland Ave. I Responsible Plant Person: Chuck Puleo Salem, MA I Inspector: James Hope Zip: _01970 Phone: 978-744-6455 I Time In: 9:45 AM Time Out: 10:30 AM Received in Lab by: RBA Date:6/23/09 Time:1:30 F Recd Temp. Control: Raw:NA Water:l.0°C Past.: 1.0° C Date Tested: 6/23/09 Time Tested:3:00 PM Temp. Control at Testing: Water.2.0°C Past.: 2.0° C DATE REPORTED: 7/2/09 ANALYST(S): RBA, RTD REVIEWED BY:RBA duct Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL I Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 6/23/2009 XXX Homo Quart Plastic 37°F 4-Jul 6/23/2009 XXX Sweet Water 4 oz.Vial 51'F Tank 6/23/2009 =. :' _ _�-`t- t,: - ._Raw Milk _ a5 NotApailable __ _-�i '- i, 6/23/2009 IJH-476 Homo Quart Plastic 37°F 4-Jul 0913-684 <1 EPCC' 260 n NF I NF 6/23/2009 IJH-477 Skim 1/2 Gallon Plastic 37°F 11-Jul 09D-685 <1 EPCC 1,900 NF NF 6%23/20.09„J . , Chocolate. I - NotAv � r b --I ��f_ able ' � � � K --_;I.. __ _ �T -- ._.- -- -�--_¢ 6/23/2009 JH-478 Light Cream Pint Plastic 37°FI 4-Jul 0913-686 <1 EPCC 960 NF NF 6/23/2009 IJH-479 Sweet Water 4 oz.Vial I 51°F1 Tank 09D-687 I<11100md NA NA I NA 6/23/2009 IJH-480 Glass Bottle 1/2 Gallon Glass I NA I NA 09D-688 <5 RCC 5 RBC NA I NA 6/23/2009 IJH-481 Glass Bottle 1/2 Gallon Glass NA I NA 09D-689 <5 RCC 10 RBC NA I NA 6/23/2009 IJH-482 Glass Bottle 1/2 Gallon Glass NA I NA 09D-690 <5 RCC <5 RBC NA NA 6/23/20091JH-483 Glass Bottle 1/2 Gallon Glass NA NA 09D-691 <5 RCC 30 RBC NA NA Individual Producer - - - XXX=Temp. Control '=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Bureau of Environmental Health J Food Protection Program DEVAL L. PATRICK 305 South Street, Jamaica Plain, MA 02130-3597 GOVERNOR 617-983-6712 617-983-6770 - Fax TIMOTHY P.MURRAY LIEUTENANT GOVERNOR JUDYANN BIGBY,MD SECRETARY „", JOHN AUERBACH COMMISSIONER MAR 2 7 2009 Charles Puleo CfI-Y OF SALEM March 23, 2009 Puleo's Dairy BOARD OF HEALTH 376 Highland Ave. Salem,MA 01970 Dear Mr. Puleo: On March 16, 2009 milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 2007 Recommendations(PMO) is three hundred thousand (300,000)colonies per cubic centimeter, (100,000 for individual producer milk). For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole, Lowfat&Skim Milk 20,000 10 Flavored Whole, Lowfat& Skim Milk 20,000 10 Cream, Half&Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results, please call the Dairy Plant Inspection Unit at(617) 983-6751. Sincerely, go El A. Fitzgibbons Supervisory Food and Drug Inspector cc: Board of Health Dairy Plant Inspection Unit S:\Bureau\Fpp\Dairy\SAMP LETR\DySm pI Ltr.doc MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name. Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: James Hope Zip: _01970 Phone: 978-744-6455 Time In: 9:00 AM Time Out: 9:20 AM RBA Date:3/16/09 Time:10:50 Recd Temp. Control: Water:1.5°C Past.: ° C Date Tested: 3/16/09 Time Tested:2.00 PM Temp. Control at Testing: Water:1.5°C Past.: ° C DATE REPORTED: 3/20/09 ANALYST(S): RBA, RTD REVIEWED BY RBA educt Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 3/16/09 XXX Sweet Water 4 oz. Vial 36"F Tank 3/16/09 JH-242 Sweet Water 4 oz.Vial 36°F Tank _ 09D-333 <1/100ml- NA NA NA 3/16/09 JH-243 Empty Vial 4 oz.Vial NA NA 09D-334 <2 RCC <10 RBC NA NA Individual Producer XXX=Temp. Control '=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader The Commonwealth of Massachusetts Executive Office of Health and Human Services 1W Department of Public Health Bureau of Environmental Health Food Protection Program DEVAL L. PATRICK 305 South Street, Jamaica Plain, MA 02130-3597 GOVERNOR 617-983-6712 617-983-6770 - Fax TIMOTHY P. MURRAY LIEUTENANT GOVERNOR JUDYANN BIGBY,MD SECRETARY p{ . JOHN AUERBACH FEIVED Charles Puleo JAN 209 January 15, 2009 Puleo's Dairy 376 Highland Ave. L� gyp OF HEALTH Salem, MA 01970 Dear Mr. Puleo: On December 3, 2008 milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 2007 Recommendations (PMO) is three hundred thousand (300,000)colonies per cubic centimeter, (100,000 for individual producer milk). For graded pasteurized milk and milk products, the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK& MILK PRODUCTS PLATE COUNT COUNT Whole, Lowfat& Skim Milk 20,000 10 Flavored Whole, Lowfat& Skim Milk 20,000 10 Cream, Half& Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results,please call the Dairy Plant Inspection Unit at(617)983-6751. Sincerely, Ellen A. Fitzgibbons Supervisory Food and Drug Inspector cc: Board of Health Dairy Plant Inspection Unit S:\Bureau\Fpp\Dairy\SAMPLETR\DySmpILtr doc MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector. Michael Wall Zip _01970 Phone: 978-744-6455 I Time In: 7:15 AM Time Out: 8.15 AM Received in Lab by TD Date:12/3/08 Time:10 13AM Recd Temp. Control Raw: NA Past.. 2.0'C Date Tested: 12/3/08 Time Tested: 1 OOPM Temp. Control at Testing: Raw. NA Past.: 2.5° C DATE REPORTED: 12/5/08 ANALYST(S): RBA/YK REVIEWED BY. RTD luct Information Laboratory Results Date JDFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other P P Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 12/3/08 XXX Whole Milk Quart Plastic 33.8°F Dec. 13 12/3/08 MW-5574 Chocolate Quart Plastic 33.8-F Dec. 20 08D-1258 <1EPCC <250EPAC NF NF 12/3/08 I MW-5575 Chocolate Pint Plastic 33.8°F Dec 20 08D-1259 <1EPCC <250EPAC NF NF 12/3/08 MW-5576 Chocolate Pint Plastic 33.8°F Dec. 20 08D-1260 <1EPCC <250EPAC NF NF 12/3/08 MW-5577 Light Cream 1/2 Gallon Plastic 33.8°F I Dec. 20 08D-1261 <1EPCC <250EPAC NF NF 12/3/08 MW-5578 Light Cream Pint Plastic 33.8°F Dec. 20 08D-1262 <1 EPCC <250EPAC NF NF "'Individual Producer XXX=Temp. Control '=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader 5 DEPARTMENT OF PUBLIC HEALTH DIVISION OF FOOD AND DRUGS 305 SOUTH ST.,JAMAICA PLAIN,MA 02130 (617)727-2670 Inspection of �7 Alew -r:y S )-),y 1 ,,J Dat, / -'?-00 Nw, n,1 01 s� L Address `3-7G.�_1-faTl�laK�? Ago- Own,r 4f-bulk P ('eU - GcJMev" ..Su �a :Yr .NAYI. d/0'70 Type of Busine,� t� IvAp M%1 k) Inspector M)A,9 (*) Remarks: 7 1 add -09 , 7 i� /s' A%44 71 Liu?`!?,)Y-' l ?_ v'it 1✓ er7 a t t"(v 5 5 1T-e'- ee w� i�etL'/"i - II 7 t- / wuzv-. L [ C J �la 'i� flu WL Wa 3 /P Y�V e-,71144 su,,dias FrJc>� OrcY�lGr "v/'YA ,I) tr oCPL)ev rx V2s' z a - A-D� eJv✓1 ua ) us/Ie.��1ene 6w /W/Le7I @-'�Y. /Ml �� f.L�lof�1!'V'�L/ .9✓� /�P.)CLS H.LQQS UY`� [,'�-q"(�e I/` I'(' 2.!)Q��i (l6 f�I1�Y GYL� �O�/�LY �} I � +Aoid 4;AJ�I-s Ni.euS Vv�er-P !r 7.t9`/)C cer�C�' �Vie✓1`s : u evv��- d/. a e6^ :.�1�1-I, L:�,/,4�L'�'P�'Q Jed Ll\OCOlal�-p was LmaS'd�:- } m awl�V. u-"7fjf14scolaf-P 11th IK Q.� srJ PlaSl�� Lv�2 :sa/l6`1; Dze, AlJ 33,8°6r W,7-S 7.S— r's"lez4-e �1(r7(lt A}w 1— f'IQS��G Ca�Qzcszll6ljr; bee, 33,9 "p 5-a-76if ,&Vezfajz A iK Pau t- P(0s�2G Cvcjle-° seri/ Z)ec �o :3 3 S r- KW ss-'77 L ar�! ('.rescue %d 6-al&k lot�SJ�c. ced..c; Sp I�(�/ D2c. lX0 s 3. e 1p- r / uo.s s'78 c S 4 L t CO e&l k Ind wk P/,p s} c c5Pg- : .o it b4 bac. y-o X XI)e tcil�ule Ai k- Qoaf-f pla5ibe-- Come: b-e4</3 33, e')'C- r-,P r t Qu9ect-,94 r s i elJart- d' P-Ldlt/ A 1ze auci aa& Liut ci •. r FORM PH-F-78 Division of Food&Drugs I ' Commonwealth of Massachusetts s & City of Salem Board of Health Kimberley Driscoll 120 Washington Street,4th Floor Mayor SALEM,MA 01970 Food/Retail Establishment Permit DATE PRINTED: 12/19/2008 ESTABLISHMENT NAME: Puleo's Dairy File Number:BHF-2003-000023 376 Highland Avenue Salem MA 01970 LOCATED AT: SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions/Notes FROZEN DESSERTS BHP-2009-0094 Dec 19,2008 Dec 31,2009 $25.00 Pasteurization BHP-2009=0093 Dec 19,2008 Dec 31,2009 $10.00 Total Fees: $35.00 PERMIT EXPIRES December 31, 2009 Board of Health This Permit is not transferable and must be reissued upon change of ownership or location.The permit must be posted in a prominent location in the.Establishment. In accordance with the State Sanitary Code,beofre any revonations,improvements,or equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Page 1 • CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH r 120 WASHINGTON STREET,4"FLOOR TEL. (978) 741-1800 KIMBERLEY DRISCOLL Fzix(978) 745-0343 MAYOR DEC - 1 z008 [DIONNI?OSALEN1.CO' CITY OF SALEM JANET DIONNE, BOARD OF HEALTH ACTING HEALTH AGENT 2009 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT NAME OF ESTABLISHMENT A C��Pa4i Y/�l TEL# A7-� ADDRESS OF ESTABLISHMENT//, G+ /J✓�Y7J12i FAX# S9mP MAILING ADDRESS(if different) EMAIL-Business': / Website: OWNER'S NAI�/ v��7� ��IJL�r� TEL# 97�7�I ADDRESS STREET CITY STATE ZIP CERTIFIED FOOD MANAGER'S NAME(S) CERTIFICATE#(S) (Required in an establishment where potentially hazardous food is EMERGENCY RESPONSE PERSON( � L �j HOME TEL# I DAYS OF OPERATION Monday Tuesday Wednesday Thursday Friday Saturday Sunday HOURS OF OPERATION Please write in time of day. (For example 11 am-11 pm) TYPE OF ESTABLISHMENT FEE (check only) RETAIL STORE YESNO less than 1000sq.ft. =$ 70 1000-10,000sq.ft. =$280 more than 10,000sq.ft. =$420 RESTAURANT YE NO less than 25 seats $140 (Outdoor Stationary Food Cart$210) r 25-99 seats =$280 more than 99 seats =$420 --------------------------------------------------------------------------------------------------------------------- BED/BREAKFAST/ YES N $100 CHILDCARE SERVICES/NURSING HOME-- ADDITIONAL PERMITS MAKE (not just serve) ICE CREAM, YOGURT/SOFT SERVE YES NO TOBACCO VENDOR NO $135 PASTURIZATION(PULEO'S) YE NO $w� ALL NON-PROFIT(such as church kitchens) YEb NU $25 'Please pay total with one check payable to the City of Salem. This Permit is not transferable and must be reissued upon change of ownership.The Permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code, before any renovations,improvements,or equipment changes are made, all plans for such ubmitted to and a proved by the Salem Board of Health. P rsuant to MGL er ,Section certify under the pains and penalties of perjury that I,to my best knowledge and belief,have filed all state tax ums and paid tat ces required un rthe la ® 37�f� /z. l/ Date Social Se�or Federal Identification Number --------------------- -- -------------- _ Silo 11/17/07 F00DAP2008.adm ' n � 4 J -- The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Bureau of Environmental Health Food Protection Program DEVAL L. PATRICK 305 South Street, Jamaica Plain, MA 02130-3597 GOVERNOR 617-983-6712 617-983-6770 - Fax TIMOTHY P.MURRAY LIEUTENANT GOVERNOR JUDYANN BIGBY,MD SECRETARY r" JOHN AU RBACH TARP COMMISSIONER Charles Puleo June 25, 2008 Puleo's Dairy 376 Highland Ave. Salem, MA 01970 Dear Mr. Puleo: On June 17, 2008 milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 2005 Recommendations(PMO) is three hundred thousand (300,000)colonies per cubic centimeter, (100,000 for individual producer milk). For graded pasteurized milk and milk products, the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK& MILK PRODUCTS PLATE COUNT COUNT Whole, Lowfat& Skim Milk 20,000 10 Flavored Whole,Lowfat&Skim Milk 20,000 10 Cream, Half& Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results, please call the Dairy Plant Inspection Unit at(617)983-6751. RECEIVED Sincerely, IJUN 2 7200 �Q¢ r � CfIY CF SALEM Ellen A. Fitzgibbons BOARD OF HEALTH Supervisor Food and Drug Inspector cc: Board of Health Dairy Plant Inspection Unit S\Bureau\I'pp\Dairy\SAMPLETR\DySmplLtr.doe MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector. James Hope Zip: _01970 Phone: 978-744-6455 I Time In: 8:30 AM Time Out: 9:30 AM Received in Lab by: YK Date:6/17/08 Time:2:00P Rec'd Temp. Control: Raw: 3.0° C Past.. 3,0' C Date Tested: 6/17/08 Time Tested:3:30PM Temp. Control at Testing: Raw: 2.5° C Past.: 2.5° C DATE REPORTED: 6/20/08 ANALYST(S): RBA/SW/YK REVIEWED BY: RBA 3duct Information - Laboratory Results Date DFD Product Container Sample Code# Lab CoIVmL SPC/mL Inhibitors ]hosphatasf Other Collected Sample# Type Type Temp, or other Sample# or gram or gram pg/mL 6/17108 XXX Raw Milk 4 oz.Vial 45°F Tank XXX XXX XXX XXX XXX 6/17/08 XXX Chocolate Quart Plastic 35°F 28-Jun XXX XXX I XXX XXX XXX 6/17/08 XXX Sweet Water 4 oz. Vial 42°F Tank XXX XXX XXX XXX XXX 6117/08 JH-411 Raw Milk 4 oz.Vial 45°F Tank 08D-621 NA 7,900 NF NA 6117/08 JH-412 Homo 1/2 Galion Glass 3- - 28-Jun 08D-622 <1EPCC 3,800 NF NF 6/17/08 JH-413 Skim 1/2 Gallon Glass 35°F 28-Jun 08D-623 <1EPCC 19,000 NF NF 6/17/08' JH-414- '" Chocolate a. -. Quait:Plastic: . :' : WFL. 28-Jun ';'6 D-624 <1EPCC,'.>20o,000EFAC` NF NF 6/17108 JH-415 Light Cream 1/2 Gallon Glass 35°F 28-Jun 08D-625 <tEPCC <250EPAC NF NF 6117/08 JH-416 Sweet Water 4 oz. Vial 42°F Tank 08D-626 <1/100ML f NA NA NA Individual Producer XXX=Temp. Control '=Violation NA=Not Applicable NF=Nat Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader RECEIVED` fJUN 2 7 2008 CITY OF SALEM BOARD OF HEALTH ^r The Commonwealth of Massachusetts -- Executive Office of Health and Human Services Department of Public Health Food Protection Program 305 South Street, Jamaica Plain, MA 02130-3597 DEVAL L.PATRICK GOVERNOR 617-983-6712 617-983-6770 - Fax TIMOTHY P.MURRAY LIEUTENANT GOVERNOR JUDYANN BIGRBY,MD SECRETARY JOHN AUERBACH P v COMMISSIONER NOTICE OF VIOLATIONS /ORDER TO CORRECT STANDARD PLATE COUNT VIOLATIONS June 26, 2008 Chuck Puleo RECEIVE® Puleo's Dairy 376 Highland Ave. IJUN 2 7 2008 Salem, MA 01970 CITY Cir SALEM BOARD OE HEALTH Dear Mr. Puleo: Bacterial counts on two of the last four consecutive samples of Chocolate Milk have exceeded the limit for standard plate count of 20,000 per mL. Samples JH-4583 and JH-414 were taken on 12/3/07 and 6/17/08 respectively, resulted in standard plate counts greater than 20,000 per sample. This notice shall remain in effect as long as two of the last four consecutive samples exceed the limit of the coliform standard. An additional sample shall be taken within twenty one (2 1) days of the sending of this notice but not before the lapse of three (3) days. Immediate steps must be taken to determine the cause of the bacterial contamination; and once the cause has been determined, it must be corrected. You are required to respond in writing within the next 10 days as to the corrective steps you are taking to eliminate the cause of this coliform contamination. If you have any questions regarding this notice, please contact me at (617) 983-6751. Sinj�c�e„rely,/I ck I1 (it Ellen A. Fitzgibbc� Supervisor, Dairy Plant Inspection Program cc: Board of Health MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector. James Hope Zip: _01970 Phone: 978-744-6455 Time in: 8:30 AM Time Out: 9:30 AM Received in Lab by: YK Date:6/17/08 Time:2:00F Recd Temp. Control: Raw: 3.0° C Past.: 3.1:, Date Tested: 6/17/2008 Time Tested:3:30PM Temp, Control at Testing: Raw: 2.5° C Past.: 2,5 1 DATE REPORTED: 6/20/2008 ANALYST(S): RBA/SW/YK REVIEWED BY: RBA oduct Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase 011 aP Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 6/17/2008 XXX Raw Milk 4 oz. Vial 45°F Tank XXX XXX XXX XXX XXX 6/17/2008 XXX Chocolate Quart Plastic 35°F 28-Jun XXX XXX XXX XXX XXX 6/17/2008 XXX Sweet Water 4 oz. Vial 42°F Tank XXX XXX XXX XXX XXX 6/17/2008 JH-411 Raw Milk 4 oz. Vial 45°F Tank 08D-621 NA 7,900 NF NA 6/17/2008 JH-412 Homo 1/2 Gallon Glass 35°F 28-Jun 0813-622 <tEPCC 3,800 NF NF 6/17!2008 JH-413 Skim 1/2 Gallon Glass 35°F 28-Jun 0813-623 <1EPCC 19,000 NF NF 6/17/2008 JH-414 Chocolate Quart Plastic 35°F 28-Jun 0813-824 <1EPCC >200,000EPAC' NF NF 6/17/2008 JH-415 Light Cream 1/2 Gallon Glass 35°F 28-Jun 08D-625 <tEPCC <250EPAC NF NF 6/17/2008 JH-416 Sweet Water 4 oz. Vial 42°F Tank 0813-626 <1/100ML NA NA NA Individual Producer XXX=Temp. Control "=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To CEOF11t5' ir gv (JUN 2 7 2008 CITY OF SALEM BOARD OF HEALTH MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Pulao Salem, MA Inspector: James Hope Zip: _01970 Phone: 978-744-6455 Time In: 9:00 AM Time Out: 9:45 AM Received in Lab by:Y.K. Date: 12/03/2007 Time: 1:35 P.M. Recd Temp.Control: °C Past.: 1.5°C Date Tested: 12/03/2007 Time Tested: 1:45 P.M. Temp.Control at Testing: Raw: °C Past.: 1.5°C DATE REPORTED: 12107/2007 ANALYST:S.W. REVIEWED BY:R.G. 4duct Information Laboratory Results Date DFD Product Container Sample Code# Lab PCC/mL PAC/mL Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram Ng/ml. 12/3/2007 XXX Chocolate Quart Plastic 35°F 15-Dec XXX 12/3/2007 JH-4582 Skim Quart Plastic 35°F 8-Dec 0701359 <1 EPCC 120,000 EPAC' NF NF 12/3/2007 JH-4583 Chocolate Pint Plastic 35'F 15-Dec 07D1380 <1 EPCC >200,000 EPAC' NF NF 12/3/2007 JH-4584 Light Cream 112 Gallon Plastic 35'F 15-Dec 07D1381 2 120.000 EPAC" NF NF 12/3/2007 JH-4585 Egg Nog Pint Plastic 35°F 3-Jan 07D1362 9 <250 EPAC NA NF "Individual 'roducer XXX=Temp.Control '=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count PCC=PetriBim Collform Count PAC=Petrtfilm Aerobic Count EPCC=Estimated PCC EPAC=Estimated PAC RECEIVED F, rJUN 2 7 20081 ary OF sALElv1 BOARD OF HEALTH I, @Microbac Laboratories, Inc. Page ' of MASSACHUSETTS DIVISION 148 Bartlett Street Marlborough,MA 01752 d {508}460-7600 Fax (508)460-7777 Nancy Burnett,Lab Director www.microbac.com E-Mail: massachusetts@microbac.com CHEMISTRY • MICROBIOLOGY •FOOD SAFETY - CONSUMER PRODUCTS WATER'AIR`WASTES'FOOD•PHARMACEUTICALS•NUTRACEUTICALS CERTIFICATE OF ANALYSIS Reported 10/28/2008 Date Re PUI.EO'S DAIRY P CHUCK PULED Date Received 10/24/2008 376 HIGHLAND AVE a�� Sample ID 0810-00617 SALEM,MA 01970 D Invoice No. 50354 NOV 4 2008 Cust P.O.# P465 Subject ICE CREAM SAMPLES FOR TESTING IO/24/08 Sampled By: CLIENT Date 10/21/2008 Time 19:00 Test Result Date Time Tech Method E00L _a Coliform <1 CFU/gram 10/24/2008 17:00 LBL SMEDP,ADAC This sample PASSED MaDPH Requirements Standard Plate Count 120 CFU/gram 10/24/2008 17:00 LBL SMEDP,AOAC This sample PASSED MaDPH Requirements C `!!.p'i^.. _ _ ;.r..r, .,�. ..yrwn::Y"'r,'Y.i' ;i- `.Mj' �krAs`:�4:.��°�t �'+ t,} ^a=~?i'j:."'�m°i",eF , yG:�Aa�.•.:':�t'= %2VtU1VC ; '..�,-- N itr,_e f"n. 1e .}y,- y'Fv"�..-�.s .rvl .t'kr•+ 3,. T �k r K$ Coliform <1 CFU/gram 10/24/2008 17:00 LBL SMEDP,ADAC This sample PASSED MaDPH Requirements Standard Plate Count 28,000 CFU/gram 10/24/2008 17:00 LBL SMEDP,AOAC This sample PASSED MaDPH Requirements w�'--+^�..-.sa5- -'.° y"�.�a _ - '�sT .="aZ.,y2 .J•»r �n}aU�, s...3#'. .r,R, •;.,p, .,'P`:> Op3"""`aa Sample Collo ed ,',rfi:10/21/2008 7 00 WP - t ` �a�-� ' .,^i - > '' a - ;` ar;' �,� 1, . �5w Coliform <1 CFU/gram 10/24/2008 17.00 LBL SMEDP,AOAC This sample PASSED MaDPH Requirements Standard Plate Count 70 CFU/gram 10/24/2008 17:00 LBL SMEDP,AOAC This sample PASSED MaDPH Requirements The data and Infor oobon or this,and attar acconpany5>g r=merits,represeot only the samPle(s)analyzed and is rendered upon condtion MEMBER that it Is not to be reporduced wholly or in part for advertising or other purposes without approval from the laboratory. USDA-EFA-100SH Testing Food Santtatlon Con5U&Q Chemxai and Mlcrobmlogkaf Analy sand Research P u @Nhcrobac Laboratories, Inc. Page 2 of 2 MASSACHUSETTS DIVISION 148 Bartlett Street Marlborough,MA 01752 . Hcrob0 (508)460-7600 Fax (508)460-7777 Nancy Burnett,Lab Director www.microbac.com E-Mail:massachusetts@microbac.com CHEMISTRY MICROBIOLOGY •FOOD SAFETY • CONSUMER PRODUCTS k WATER AIR•WASTES •FOOD•PHARMACEUTICALS•NUTRACEUTICALS ! CERTIFICATE OF ANALYSIS PULEO'S DAIRY Date Reported 10/28/2008 CHUCK PULEO Date Received 10/24/2008 376 HIGHLAND AVE � � Sample ID 0810-00617 6 Invoice No. 50354 SALEM,MA 01970 NOVust# P465 V —4 Ann Cast P.O.# Subject ICE CREAM SAMPLES FOR TESTINQ 10/24/08 Sampled By: CLIENT Date 10/21/2008 Time 19:00 Test Result Date Time Tech Method Massachusetts DPH Requirements Temperature Conversions Category Limit <0 C=Below Freezing . Coliform 50 0 Degree C=32 Degree F Standard Plate Count 50000 5 Degree C=41 Degree F 10 Degree C=50 Degree F 15 Degree C=59 Degree F This report has been reviewed and is electronically signed by: Nancy Burnett Laboratory Director The data and 1r3ema m on this,and otter accompa"documents,represent ony the sa riye(s)analyzed and is rendered upon conchtion MEMBER that R is not to be reporduced wholly or in part for advertising or other purposes without approval from the laboratory. � USDA-EPA-NIOSH Testing Food sanitation Consulting Chemkal and Microbiological Analyses and Resesc1 h (i _4 4, ,4i�- 'Collanionwealth of Massachusetts City of Salem Board of Health Iftberley Driscoll 120 Washington Street,4th Floor Mayor SALEM,MA 01970 Food/Retail Establishment Permit DATE PRINTED: 01/03/2008 ESTABLISHMENT NAME: Puleo's Dairy File Number.BHF-2003-000023 376 Highland Avenue Salem MA 01970 LOCATED AT: SALEM,MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions Notes Pasteurization BHP-2008-0054 Jan 3,2008 Dec 31,2008 -$10.00 Total Fees: $10.00 PERMIT EXPIRES December 31, 2008 - Board of Health This Permit is not transferable and must be reissued upon change of ownership or location.The permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code,beofre any revonations,improvements,orvquipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. - Page 18 of 46 3v� QTY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET,4"t FLOOR 'ISL.(978)741-1800 KIMBERLEYDRISCOLL FAX(978) 745-0343 RECEVED MAYOR TSMTTC&SALEM.COM �� „ JOANNE SCOTT, DEC 6- 2007 HEALTH AGENT CITY OF SALEM BOARD OF HEALTH 2008 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT NAME OF ESTABLISHMENT Leo s , TEL# ADDRESS OF ESTABLISHMENT 41� h ��(7/ 'G�r*�/�1/h' FAX# ✓lam% MAILING ADDRESS (if different) EMAIL-Business': Website: OWNER'S NAvr= ,f/.iii o 4 />7 /��GGr TEL# �� o -?6 !/ ADDRESS STREET CITY STATE 21P CERTIFIED FOOD MANAGER'S NAME(S) CERTIFICATE#(S) (Required in an establishment where potentially hazardous food is prepared) � 'l EMERGENCY RESPONSE PERS - -3 !Z 60-S ,.. Ir —/ff o HOME TEL# �0G_,7a —/6 DAYS OF OPERATION Monday Tuesday Wednesday Thursday Friday Saturday Sunday HOURS OF OPERATION 1 Please write in time of day. (For example 1 tam-11 pm) TYPE OF ESTABLISHMENT FEE (check onlv), RETAIL STORE YES NO less than 1000sq.ft. =$70 1000-10,000sq.ft. =$280 more than I0,000sq.ft. =$420 -------------------------- -------------- - ------------- ---- --.. RESTAURANT YES NO less than 25 seats =$140 (Outdoor Stationary Food Cart$2'i0/ 25-99 seats =$280 more than 99 seats =$420 B..E..D.../.B..R..E..A...K..F..A..S..T../. -------------------- YES.....-NO----..-......-----------....-.------------..-.-............--------------------$00-0...... 10 CHILDCARE SERVICES � . - - ------------- - ------- �� ADDITIONAL PERMITS //�rt�J"�.9'J''Z �✓ (..i�Cc.tici-C MAKE (not just serve) ICE CREAM, YOGURT/SOFT SERVE YES NO $25 TOBACCO VENDOR YES NO $135 ALL NON-PROFIT(such as church kitchens) YES NO $25 *Please pay total with one check payable to the City of Salem. This Permit is not transferable and must be reissued upon change of ownership.The Permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code, before any renovations, improvements,or equipment changes are made, all plans for such must be submitted to and approved by the Salem Board of Health. Pursu ai-lo-MC�Chapte 62C,Secuon 4 certify under the pains and penalties of perjury that I,to my best knowledge and belief,have fled all state tax ret s and .3 aid a s t xe re nder t law. P �4 igna Date Social Security or Federal Identification Number ------------------------------------------ ------------ - - -----------------------------_----. Revised 4/24/07 FOODAP2008 adm Check#&Date $ The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Bureau of Environmental Health Food Protection Program DEVAL L.PATRICK 305 South Street, Jamaica Plain, MA 02130-3597 GOVERNOR 617-983-6712 617-983-6770 - Fax TIMOTHY P. MURRAY LIEUTENANT GOVERNOR JUDYANN MD i 1 S CRETR � VE JOHN AUERBACH EV COMMISSIONER DEC 13 2007 Charles Puleo i_.,, v "a= 3.,aLEM December 12, 2007 Puleo's Dairy t3OARD OF HEALTH 376 Highland Ave. Salem, MA 01970 Dear Mr. Puleo: On December 3, 2007 milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance,2005 Recommendations(PMO) is three hundred thousand (300,000)colonies per cubic centimeter, (100,000 for individual producer milk). For graded pasteurized milk and milk products, the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole, Lowfat& Skim Milk 20,000 10 Flavored Whole, Lowfat&Skim Milk 20,000 10 Cream, Half& Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. if you have any questions concerning these results, please call the Dairy Plant Inspection Unit at(617)983-6751. Sincerely, 0z4"- U7» Ellen A. Fitzga ons Supervisor Food and Drug Inspector cc: Board of Health Dairy Plant Inspection Unit S:\Bureau\Fpp\Daiiy\SAMPLETR\DySmpiLtr.doc MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: James Hope Zip: _01970 Phone: 978-744-6455 Time In: 9:00 AM Time Out: 9:45 AM Received in Lab by:Y.K. Date: 12/03/2007 Time: 1:35 P.M. Recd Temp. Control: . C Past.: 1.5°C Date Tested: 12/03/2007 Time Tested: 1:45 P.M. Temp. Control at Testing: Raw: " C Past. 1.5" C DATE REPORTED: 12/07/2007 ANALYST: S.W. REVIEWED BY. R.G. educt Information Laboratory Results Date DFD Product Container Sample Code# Lab PCC/mL PAC/mL Inhibitors I Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 12/3/07 XXX Chocolate Quart Plastic 35°F 15-Dec XXX 12/3!07 JH 4582 'Skim . QUait Plastic ''- '.:35'F 8-Dec 07D~1359`." .51.EPCC `120;000'EPAC' .:r;-NF 'NF 12/3/07.`' ` -JH-4583':'= `.Chocolate : : Pint Plastic =° 'r 36°F 15-Dec i07131360:" <1 EPCC >200,000 EPAC' i NIF . . . NF 12/3/07 - -JH-4584' " AightCream' 1/2,GailonPlastic; .>35'F 15-Dec '071)1361; ` "t_2 .''., -120,000 EPAC* :. NF- NF, 12/3/07 JH-4585 Egg Nog Pint Plastic 35'F 3-Jan 07D1362 9 <250 EPAC NA NF " Individual producer XXX=Temp. Control '=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count PCC = Petriflim Coliform Count PAC= Petrifilm Aerobic Count EPCC = Estimated PCC EPAC = Estimated PAC N t The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Food Protection Program 305 South Street, Jamaica Plain, MA 02130-3597 DEVAL L.PATRICK 617-983-6712 617-983-6770 - Fax GOVERNOR TIMOTHY P.MURRAY LIEUTENANT GOVERNOR �� JUDYANN BIGBY,MD '-, ED SECRETARY JOHN AUERBACH JUL Q Z 2001 COMMISSIONER Charles Puleo _ = June 28,2007 eo's xny 376 Highland Ave. Salem,MA 1970 Dear Mr. Puleo: On June 19, 2007 milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 1999 Recommendations(PMO)is three hundred thousand(300,000)colonies per cubic centimeter,(100,000 for individual producer milk). For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole, Lowfat& Skim Milk 20,000 10 Flavored Whole,Lowfat& Skim Milk 20,000 10 Cream,Half&Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk(*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this n6tice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results,please call the Dairy Plant Inspection Unit at(617)983-6751. Sincerely, .m cl'. C�� .��v Ellen A. Fitzgib ns Supervisor Food and Drug Inspector cc: Board of Health Dairy Plant Inspection Unit S:\Bureau\Fpp\Dairy\SAMPLETR\DySm p[Ltr.doc MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. - Responsible Plant Person: Chuck Puleo Salem, MA Inspector: James Hope Zip: _01970 Phone: 978-744-6455 Time In: 9:00 AM Time Out: 10:10 AM Received in Lab by: RTD Date: 6/19/07 Time: 1:45 Recd Temp. Control: Raw: 2.5°C H2O:2.5° C Past.: 2.5° C1 Date Tested: 6/19/07 Time Tested:3:15 PM Temp. Control at Testing: Raw: 3.0°C H2O:3.0°C Past.: 3.0' C DATE REPORTED: 6/25/07 ANALYST(S): RTD,RBA,SW REVIEWED BY: RTD I oduct Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 6/19/07 XXX Raw Milk 4 oz. Vial 47"F Tank 6/19/07 XXX Chocolate Quart Plastic 36°F 30-Jun 6/19/07 XXX Sweet Water 4 oz. Vial 50°F Tank 6/19/07 JH-3705 Raw Milk 4 oz. Vial 47'F Tank 07D-00762 NA 66,000 NF NA 6/19/07 JH-3706 Homo . Pint Plastic 36°F 30-Jun 07D-00763 <1EPCC <250 NA NF 6/19/07 JH-3707 Skim Quart Plastic 36°F 7-Jul 07D-00764 <1EPCC <250 NA NF 6/19/07 JH-3708 Chocolate Pint Plastic 36°F 30-Jun 07D-00765 <1EPCC 9,000 NA NF 6/19/07 JH-3709 Light Cream Pint Plastic 36°F 30-Jun 07D-00766 <1 EPCC <250 NA NF 6/19/07 JH-3710 Sweet Water 4 oz.Vial 36°F Tank 07D-00767 <1/100 ml NA NA NA 6/19/07 JH-3711 Glass Bottle Quart Glass 0713-00768 <2RCC <10RBC NA NA Individual Producer XXX=Temp. Control *=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader CITY OF SALEM, MASSACHUSETTS m BOARD OF HEALTH s 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 Kimberley Driscoll WWW.SALEM.COM Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT January 22, 2007 Puleo's Dairy&Restaurant 376 Highland Ave Salem,MA 01970 Dear Sir/Madam: On Wednesday January 17, 2007 during a routine food inspection of Brother Georges Restaurant, conducted by Janet Dionne, Sr. Sanitarian of the Salem Board of Health, it was noted that a male worker who was performing maintenance at the Puleo's Dairy establishment, was smoking. At time of inspection the worker was made aware of Board Regulation#22 and the Workplace Smoking Ban and asked to discontinue smoking within the establishment. This is a warning that you are in violation of Salem Board of Health Regulation#22, Workplace Smoking Ban. If another violation of Salem Board of Health Regulation#22 is observed, you will be fined $100.00 (First Offense), $200 00 (Second Offense), and $300.00 (Third Offense). Should you be aggrieved by this warning, you have the right to request a hearing before the Board of Health. A request for such a hearing must be received in writing in this office of the Board of Health within seven (7)days of receipt of this Order. At said hearing, you will be given the opportunity to be heard and to present witness and documentary evidence as to why this warning should be modified or withdrawn. You may be represented by an attorney. Please also be informed that you have the right to inspect and obtain copies of all relevant inspection or investigation reports,warning, and other documentary information in the possession of this board, and that any ad verse party has the right to be present at the hearing. If you have any questions regarding this notification please call me at(978) 741-1800. Sincerely yours,, 'zJoanne Scott Health Agent CERTIFIED MAIL: CC: North Shore Tobacco Control Program Christina Harrington, Board of Health Chairman and Members 7V 5 A It, Commonwealth of Massachtisetts . ty.,91 SalemK 4. 150aral 01 kieafth:M D ' Y: ns -120 Washington Street,4th Floor ayor SALEM,MA 01970 Food/Retail Establishment Permit DATE PRINTED: 01/05/2007 ESTABLISHMENT NAME: Puleo's Dairy File Number:BHF-2003-000023 376 Highland Avenue Salem MA 01970 LOCATED AT: SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions/Notes Pasteurization BHP-2006-0399 Dec 26,2006 Dec 31,2007 $10.00 Total Fees: $10.00 PERMIT EXPIRES December 31, 2007 Board of Health This Permit is not transferable and must be reissued upon change of ownership or location.The permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code,beofre any revonations,improvements,or equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Page 4 of 7 CITY OF SALEMr MASSACHUSETTS i BEARD of HEALTH RECEIVED 120WASHINGTON STRBEETET,, 44TH FLOOR SALEM, MA 01970 TEL. 978-741.1800 DEC - 4 2006 FAX 978-745-0343 CITY OF SALEM Kimberley Driscoll WWW.SALEM.COM BOARD OF HEALTH Mayor JOANNE SCOTT, MPH, RS, CHO HEALTH AGENT 2007 APPLIC—A—TIIOON FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT NAME OF ESTABLISHMENT /r L,ev 'r TEL# � c ADDRESS OF ESTABLISHMENT ?76 A/,t� /yr�rr,re� � # ✓FAX e MAILING ADDRESS(if different) EMAIL--Business': Owr.e's: OWNER'S NAME TEL ADDRESS /?or)Zeas sy7/� p7/�1�c� STREET ITY STATE ZIP CERTIFIED FOOD MANAGER'S NAME(S) CERTIFICATE#(S) (Required in an establishment where potentially hazardous food is prepared) EMERGENCY RESPONSE PERSON . HOME TEL At DAYS OF OPERATION Monday Tuesday ' Wednesday'",-,`-Thorsday.: v--t Enday „. - Saturday Sunday I HOURSOFOPEHATION Please write In tate of day. Ifor eiimale llant4loml - TYPE OF ESTABLISHMENT FEE (check only) RETAIL STORE YES NO less than 1000sq.ft, =$ 50 1004-10.000sq.ft. =$100 more than 10,000sq.ft. =$250 --- ------ .......... - ..._.... - ....._... ...._ ... - RESTAURANT YES NO less than 25 seats =$100 25-99 seats =$150 more than 99 seats =$204 BED - .../BR-E---AKFAS- ----T .... - ......NO.... ------- -... .... -$10--4 -- - ---..----- . -- -- -- -- ---- - S --._....-- --------...... �G?GCs.4.�1...�Z.f2'..%:Qvt/ . . `. ./'h.i .._--.....G'. ADDITIONAL PERMITS MAKE (not just serve) ICE CREAM, YOGURT, SOFT SERVE YES NO $5 TOBACCO VENDOR YES NO $50 ALL NON-PROFIT(such as church kitchens) YES NO $25 *Please pay total with one check payable to the City of Salem This Permit is not transferable and must be reissued upon change of ownership The Permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code, before any renovations, improvements. or equipment changes are made, all plans for such must be submitted to and approved by the Salem Board of Health, ursuant to M L Chapter 62C, Secli 49A, I c rUfy under the pains and penalties of perjury that I, to my best knowledge and belief. have filed all st t , x returns and a-d all stall .axes required urrler the law _ _i �1' Z— S n Date -' /Social Secunty or Federal Identification Number --------------------------- ---- ------ ------- -- - ------- - - - - - - - --- ----- ----- Revised 11/13/06 FOODAP2007.adm Check#&Date-_� Q _ Il j©6 5 �Q, 0 Commonwealth of Massachusetts r City of Salem Kimberley Driscoll • ° d Board of Health Mayor 120 Washington Street,4th Floor ' SALEM,MA 01970 Food/Retail Establishment Permit DATE PRINTED: 02/06/2006 WHO'S PLACE OF BUSINESS IS: Puleo's Dairy File Number:B14F•2003-0023 376 Highland Avenue Salem MA 01970 LOCATED AT: SALEM,MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions/Notes Pasteurization BHP-2006-0399 Feb 6,2006 Dec 31,2006 $10.00 Total Fees: $10.00 TO PERMIT EX RES December 31,2006 a th This Permit is not transferable and must be reissued upon change of ownership or location.The permi t must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code,beofre any revonations,improvements,or equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Page 3 of 5 The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Food Protection Program 305 South Street, Jamaica Plain, MA 02130-3597 MITT ROMNEY 617-983-6712 1617-983-6770 - Fax GOVERNOR KERRY RECEIVE® LIEUTENANT GOVERNOR TIMOTHY R.MURPHY SECRETARY DEC 13 2006 PAUL J.COTE,JR. COMMISSIONER CITY OF SALEM BOARD OF HEALTH Charles Puleo December 7,2006 Puleo's Dairy 376 Highland Ave. Salem,MA 1970 Dear Mr. Puleo: On November 27, 2006 milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 1999 Recommendations(PMO)is three hundred thousand(300,000)colonies per cubic centimeter,(100,000 for individual producer milk). For graded pasteurized hulk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole,Lowfat&Skim Milk 20,000 10 Flavored Whole,Lowfat&Skim Milk 20,000 10 Cream,Half&Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results,please call the Dairy Plant Inspection Unit at(617)983-6751. Sincerely, Ellen A. Fitzgibbns Supervisor Food and Drug Inspector cc: Board of Health Dairy Plant Inspection Unit S:\Bureau\Fpp\DaIry\SAMP LETR\DySmp[Ltr.doc MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 I Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA I Inspector: James Hope Zip: _01970 Phone: 978-744-6455 I Time In: 9:30 AM Time Out: 10:10 AM Received in Lab by: SW Date:11/27/06 Time:2:25 PM Recd Temp. Control: Raw: NA Water: 1.5°C Past.: 1.01 C Date Tested: 11/28/06 Time Tested:12:00PM Temp. Control at Testing: Raw:NA Water: 2.0' C Past.: 2.0° C DATE REPORTED: 12/5/06 ANALYST(S): SW, RBA REVIEWED SW educt Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 11/27/06 XXX Lt Cream 1/2 Gallon Plastic 38°F 11/27/06 XXX Sweet Water 4 oz.Vial 36°F Tank 11/27/06 JH- Raw Milk Z'NOtAvail abley °F 11/27/06 JH-2901 Homo 1/2 Gallon Plastic 38°F 06D-01439 <1 EPCC 950 NF NF 11/27/06 JH-2902 Skim 1/2 Gallon Plastic 38°F 06D-01440 <1 EPCC <250EPAC NF NF 11/27/06 JH- Chocolate *. Not Available' -411 °F 11/27/06 JH-2904 Light Cream 1/2 Gallon Plastic 38°F 06D-01441 3 5800 NF NF 11/27/06 JH-2905 Sweet Water 4 oz.Vial 36°F Tank 06D-01442 <1/100ml NA NA NA Individual Producer XXX=Temp. Control `=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader S MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: Michael Wall Zip: _01970 Phone: 978-744-6455 I Time In: 11:00 AM Time Out: 11:30 AM Received in Lab by:SW Date:11/13/06 Time:12:45PM Rec'd Temp. Control: Raw:NA Past.: 1.0" C Date Tested: 11/14/06 Time Tested:9:30 AM Temp. Control at Testing: Raw:NA I I Past.: 2.5° C DATE REPORTED:11/16/06 ANALYST(S):RTD, SW, RBA REVIEWED BY:SW educt Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 11/13/06 XXX Whole Quart Plastic 35°F 18-Nov 11/13/06 MW-5490 Egg Nog Quart Plastic 35°F 16-Dec 06D-01411 <1 EPCC <250 EPAC NA NF 11/13/06 MW-5491 Egg Nag Pint Plastic 35°F 16-Dec 06D-01412 <1 EPCC <250 EPAC NA NF 11/13/06 MW-5492 Egg Nog 1/2 Gallon Plastic 35°F 16-Dec 06D-01413 <1 EPCC <250 EPAC NA NF Individual Producer XXX=Temp. Control '=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader �- The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Food Protection Program 305 South Street, Jamaica Plain, MA 02130-3597 MITT ROMNEY 617-983-6712 617-983-6770 - Fax GOVERNOR KERRY HEALEY LIEUTENANT GOVERNOR TIMOTHY R.MURPHY �� SECRETARY PAUL J.COTE,JR. COMMISSIONER DEC 18 2006 Charles Puleo CITY OF SALEM December 14,2006 Puleo's Dairy BOARD OF HEALTH -376 Highland Ave. Salem,MA 1970 Dear Mr.Puleo: On December 4, 2006 milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 1999 Recommendations(PMO)is three hundred thousand(300,000)colonies per cubic centimeter, (100,000 for individual producer milk). For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole,Lowfat&Skim Milk 20,000 10 Flavored Whole,Lowfat&Skim Milk 20,000 10 Cream,Half&Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yom N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results,please call the Dairy Plant Inspection Unit at(617)983-6751. Sincerely, i^ Ellen A. Fitzgibbons Supervisor Food and Drug Inspector cc: Board of Health Dairy Plant Inspection Unit S:\Bureau\Fpp\Dairy\SAMPLETR\DySmpiLtr.doc MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 I Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA I Inspector: Michael Wall Zip: _01970 Phone: 978-744-6455 I Time In: 8:20 AM Time Out: 9:20 AM Received in Lab by:RTD Date:12/4/06 Time:11:40AM Rec'd Temp. Control: Raw:NA Past.: 2.0° C Date Tested: 12/5/06 Time Tested:10:30 AM Temp.Control at Testing: Raw:NA "C Past.: 2.0° C DATE REPORTED: 12/7/06 ANALYST(S): RBA, SW REVIEWED BY: RBA duct Information _ Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatasel Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 12/4/06 XXX Chocolate Quart Plastic 35°F 16-Dec 12/4/06 MW-5495 Egg Nog Quart Plastic 35'F 31-Dec 060-01500 <1 EPCC <250 EPAC NA NF 12/4/06 MW-5496 Egg Nog Pint Plastic 35'F 31-Dec 06D-01501 2 <250 EPAC NA NF Individual Producer XXX=Temp. Control `=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader RECEIVED DEC 18 2006 CITY OF SALEM BOARD OF HEALTH The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Food Protection Program 305 South Street, Jamaica Plain, MA 02130-3597 MITT ROMNEY 617-983-6712 617-983-6770 - Fax GOVERNOR KERRY HEALEY LIEUTENANT GOVERNOR TIMOTHY R. MURPHY SECRETARY PAUL J.COTE,JR. COMMISSIONER Charles Puleo November 20, 2006 Puleo's-Dairy C3�76376 Highland Ave. §aiem,4A 4970 Dear Mr.Puleo: On November 13, 2006 milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 1999 Recommendations(PMO)is three hundred thousand(300,000)colonies per cubic centimeter, (100,000 for individual producer milk). For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole,Lowfat&Skim Milk 20,000 10 Flavored Whole, Lowfat&Skim Milk 20,000 10 Cream,Half&Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results,please call the Dairy Plant Inspection Unit at(617)983-6751. E I ,, D Sincerely, Nov 2 2 2006 Ellen A.Fitzgibbons CITY OF SALEMSupervisor Food and Drug Inspector cc: Board of Health R�ARD OF HEALTH Dairy Plant Inspection Unit S:\Bureau\Fpp\Dairy\SAMPLETR\DySm MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: Michael Wall Zip: _01970 Phone: 978-744-6455 Time In: 11:00 AM Time Out: 11:30 AM Received in Lab by:SW Date:11/13/06 Time:12:45PM Recd Temp. Control: Raw:NA Past.: 1.0° C Date Tested: 11/14/06 Time Tested:9:30 AM Temp. Control at Testing: Raw:NA I I Past.: 2.5" C DATE REPORTEDA1/16/06 ANALYST(S):RTD, SW, RBA REVIEWED BY:SW )duct Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 11/13/06 XXX Whole Quart Plastic 35°F 18-Nov 11/13/06 MW-5490 Egg Nog Quart Plastic 35°F 16-Dec 0613-011411 <1 EPCC <250 EPAC NA NF 11/13/06 MW-5491 Egg Nog Pint Plastic 35°F 16-Dec 0613-01412 <1 EPCC <250 EPAC NA NF 11/13/06 MW-5492 Egg Nog 1/2 Gallon Plastic 35°F 16-Dec 0613-011413 <1 EPCC <250 EPAC NA NF " Individual Producer XXX=Temp. Control '=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader pEID Nov 2�2oos CCTV CF SAI-em me' 130AR0 OF M The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Food Protection Program 305 South Street, Jamaica Plain, MA 02130-3597 MITT ROMNEY 617-983-6712 617-983-6770 - Fax GOVERNOR KERRY HEALEY LIEUTENANT GOVERNOR TIMOTHY R.MURPHY SECRETARY j� PAULCOTE, jf COMMISSIONER �(IIQ�ll+1j Charles Puleo JUL 1 n 2006 July 6,2006 Puleo's Dairy 376 Highland Ave. CITY OF SALEM Salem,MA 1970 BOARD OF HEALTH Dear Mr.Puleo: On June 26, 2006 milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count pernutted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 1999 Recommendations(PMO)is three hundred thousand(300,000)colonies per cubic centimeter, (100,000 for individual producer milk). For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole,Lowfat& Skim Milk 20,000 10 Flavored Whole,Lowfat&Skim Milk 20,000 10 Cream,Half&Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results,please call the Dairy Plant Inspection Unit at(617)983-6751. Sincerely, (4u , o 4�� Ellen A. Fitzgibbons Supervisor Food and Drug Inspector cc: Board of Health Dairy Plant Inspection Unit S:\Bureau\Fpp\Dalry\SAM PLETR\DySm p[Ltr.doc MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: David Nabreski Zip: _01970 Phone: 978-744-6455 Time In: 9:15 AM Time Out: 10:00 AM Received in Lab by: RBA Date:6/26/06 Time:2:00 PM Rec'd Temp. Control: Raw: NA H2O:3.5' C Past.: 3.0° C Date Tested: 6/26/06 Time Tested:2:15 PM Temp. Control at Testing: RAW: NA H2O:3.5° C Past.: 3.0° C DATE REPORTED: 6/30/06 ANALYST(S): RBA, RTDREVIEWED BY: RTD lust Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 6/26/06 XXX Skim 1/2 Gall Plastic 39.0°F 8-Jul 6/26/06 XXX Sweet Water 4 oz.Vial 37.0'F Tank 6/26/06 DN-463 Homo Qt Glass 39.0'F 8-Jul 06D-00728 <1 EPCC <250 EPAC NF NF 6/26/06 DN-464 Skim Qt Glass 39.0°F 8-Jul 06D-00729 4 19,000 NF NF 6/26/06 DN-465 Light Cream 1/2 Gall Plastic 39.0°F 8-Jul 06D-00730 <1 EPCC 14,000 NF NF 6/26/06 DN-466 Sweet Water 4 oz.vial 37.0°F Tank 06D-00731 <1/ 100ML NA NA NA " Individual Producer XXX=Temp. Control =fiolation NA=Not Applicable NF=No Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader O \ � JUL 10 ZOOS CIN OF SALEM BOARD OF HEALTH i Commonwealth of Massachusetts City of Salem ,f� q Kimberley Driscoll Board of Health Mayor �QMn� 120 Washington Street,4th Floor SALEM,MA 01970 Temporary Food Permit DATE PRINTED: 08/08/2006 WHO'S PLACE OF BUSINESS IS: Salem Chamber of Commerce File Number BHF-2003-0102 63 Wharf Street Salem MA 01970 LOCATED AT: 0063 WHARF STREET SALEM, MA 01970 Permit Type Permit Issued Permit Expires Fee Restrictions/Notes TEMPORARY FOOD Aug S,2006 Aug 9,2006 Ice cream from Richardson's and Puleo's to be served at Salem Common. Total Fees: PERMIT EXPIRES August 9, 2006 Board of Health �wl.,%,,.ii �v-nw•. aCITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 JOANNE SCOTT, MPH, RS, CHO Kimberley Driscoll HEALTH AGENT Mayor APPLICATION FOR ATEMPORARY FOOD SERVICE PERMIT FEE: 1-3 DAYS= $200 4-7 DAYS= $300 MORE THAN 7 DAYS= $400 _ � CHECK PAYABLE TO THE CITY SA}EM,NO CASH NAME OF EVENT a_/>7^-/� & evar 446th LOCATION J/ DATE(S) OF EVENT �. h_l- ^/�/ NAME OF APPLICANT / tits ` ee 874t CW)*A-eT�ELLEEjP-HONE# ADDRESS SGS �SSPY /✓��T. / S �/-LGf.� //'/ s"i �l lG�/d /� NAME OFBUSINESS /.P>(�-� I_ �!/SL/ /G3�� W V� TELEPHONE# ADDRESS Y� C S S-��LL ✓7 �7 -P�/iN f d/' [�/ G��1 7 V CERTIFIED FOOD MANAGER'S NAME CERTIFICATION# / A PLAN OF THE ESTABLISHMENT IS: ENCLOSED DRAWN ON THE BACK TYPE OF REFRIGERATION: _GAS ICE DRY ICE _OTHER METHOD FOR COOKING/HOT HOLDING: GAS OTHER METHOD FOR SANITIZING: CHEMICAL _OTHER SOURCE OF FOOD: NAME: ADDRESS FOODS TO BE SERVED INCLUDING INGREDIENTS AND METHOD OF PREPARATION: --rlea,A We I(S q?)1-,P 5 1 HAVE READ THE BOARD OF HEALTH, "REQUIREMENTS FOR TEMPORARY FOOD ESTABLISHMENTS." I HAVE HAD THE OPPORTUNITY TO ASK QUESTIONS REGARDING THOSE REQUIREMENTS. I UNDERSTAND THEM, AGREE TO ABIDE BY THEM AND UNDERSTAND THAT FAILURE TO DO SO WILL RESULT IN REVOCATION OF MY TEMPORARY FOOD ESTABLISHMENT PERMIT PERSUANT TO M C62C, S49A, I CERTIFY UNDER THE PENALTIES OF PERJURY THAT 1, TO MY BEST KNOWLEDGE AND BELIEF, HAVE FILED ALL T TE TAX RETURNS AND/PSIID AL/LJ/�TA,TE AXES REQUIRED UNDER LAW. ,SIGNATURE DATE SOCIAL SECURITY OR FEDERAL ID# ---------------------------------------------------------------------------------------------------------------------------------------- TEMPAPPL REWSED 1 VS/D2 PERMIT# CHECK4$DATE PAGE 02 11/15/2005 14:46 5174720706 GL LASS G & L �+► Laboratories ♦ 1Vgrer Analysis a Fund/Scalood Anah,;ts ♦ Met.11slChrmtt;tl Ana!tlt� • W7i,.rohiologlcal Tes1,11p 33 Newport AN-ctntc, Quincy. MA 11,',171 10 (6171 128-3hr,1 I .t. (017) •172-0706 REPORT OC14111CI 2S- 2110:; Lab, 1. M 4 35234R Attn: Mr. Chuck Puieo Pulco's Dairy 176 kfighland Ave- Sniem. MA 01970 Sample Received Date/Time: 10124/05. 210 PM Sample Received Temperature: 4.I'C Sample Analysis Date/Time; 10/25/05, 10:30 AM Sample identification: Two(2) fro-rcn dessctt samples labeled; i. Black Rasberry 2, Chocolate Walnut Fudge TEST METHOD: A.P H.A. STANDARD METHOD TEST RESULTS- SAMPLE0 TOTAL COLIFORM/9 STANDARD PLATE COtiNT1P {n�32"C (irr 32'(' l i I e 2100 2 < ) -2,n0 Bacteriological Standard for 50 56,Nf10 Frozen Desserts LABORATORY OUALITY CONTROLS: All satnpies were found to be properly cooled upon receipt. Ai` analyscs.vere perfinmcd%x ohin AY ILA designated holding•timcs Pipet,dilution water,agar,air deme) at the'plaling are nccalive Apar len7penooty al the plating is 44.0°C. CC:Salem Beard of Haalth t i 8c I. Labs. tot . Diana hili 1,.ahoratory Director pa'-'e t of I 11/15/2005 14:48 6174720706 GL LABS PAGE 03 G & L �-+�- Laboratories V ♦ Water Analysis t Food(Seafood Analysis t Meta)slChemical Analysis ♦ Microbiological Testing 33 Newport Avenue, Quincy, MA 02171 Tel: (617) 3283663 Faa. (617) 472.0706 REPORT t3eltif,er lg.2ans Lab.I.D.(1 35151 Ann: Mr.Chuck Pulco Pulco's Dairy 376 Highland Ave. Salem, MA 01470 Sample Received Date/Timet 10/13105,2:00 PM Sample Received Temperature: -1.1°C Sample Analysis Date/Time: IN 14/05, 10:30 AM Sample Identification:Three(3)frozen dessert samples labeled- 1. Vanilla 2, Apple Pie 3. Sugar Free Maple Walnut TF,ST METHOD:A.P.H.A. STANDARD METHOD TEST RESULTS: SAMPLETOTAL COLIFORM/Q STANDARD PLATE COUNT/g @ 32°C `u 32"C i < I 6.800 2 >450 380,0(0 3 153 210,000 Bacteriological Standard for so 54101111 Frozen Desserts LABORATORY QUALITY CONTROLS: All samples were found to be properly cooled upon receipt. All analyses were perfortn d within A 11.1 1,A designated bolding-rimes. Pipet,dilution water,agar,air density at the plating,arc negative, Agar icmperatoru M Ilrc plating is 44.0°C. CC:Salem Hoard or Health G & 1, Labs, Inc. . y Diana Liu Laboratory 13ire0or Rage I of I (,tMRORTAINT MESSAGE ) .,I FOR L2 , S lrl-CJ7 OAtF , /!f" �D�O TIME OF PHONE AREA CODE NUMBER EXTENSION U FAX U MOBII F AREA CODE / NUMBER TIME TO CALL !, TELEPHONED PLEASE CALL ' CAME TO SEE YOU - WILL CALL AGAIN WANTS TO SEE YOU 11 RUSH RETURNED YOUR CALL WILL FAXTO YOU MESSAGE CQI� /C1 LD`Jt%` ✓� SIGNED + r F09Tp 400 FO N U.S.A. z 0 i m cn ( IMPORTANT MESSAGE ) FOR A DATE (7) � TIM '' .M. M OF PHONP AREA CODE NUMB€€R EXTENSION O FAX Q MOBII F AREA CODE NUMBER TIME TO CALL TELEPHONED TIRUSH EASE CALL CAME TO SEE YOU ILL CALL AGAIN WANTS TO SEE YOU E I RETURNED YOUR CALL I WILL FAX TO YOU MESSAGE I SI�GNJEE�D� ,�Wa�//J)��i' FORM 4I A. rr�i MARE IN 1,111666 A. ,, � �\ `` � �\ � , \ \ \` ��, � , , , , t u i `�.,---, - _ �s cvor27e. resp: a,F z - - I� � �� _ _ '' 'i i � �i i it Commonwealth of Massachusetts �v City of Salem Kimberley Driscoll - � A Board of Health Mayor 120 Washington Street, 4th Floor SALEM,MA 01970 Food/Retail Establishment Permit DATE PRINTED: 02/06/2006 WHO'S PLACE OF BUSINESS IS: Pollen's Dairy File Number:BHF-2003-0023 376 Highland Avenue Salem MA 01970 LOCATED AT: SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions/Notes Pasteurization BHP-2006-0399 Feb 6,2006 Dec 31,2006 $10.00 Total Fees: $10.00 PERMIT EXPIRES December 31, 2006 Board of Health This Permit is not transferable and must be reissued upon change of ownership or location.The permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code,beofre any revonations,improvements,or equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Page 3 of 5 N; ; n � ''u? w :_ • s... r:..t,'.k',Y•'r•' n..•r d6riln .u. f.-. t :..T. �:.. :r ..y..yy ':Yki ,.Lw6?LtYeaeifa•` -Rw<•.: '•A}:yl�•fi1M,.tXA.i.d.nr^'MM !µ� � .:,M.A�s+ Y}P? y •�sjA;�y f3 "-S:✓:;i!; N�::p,- k'! �g .+�u�4• t � �r 1„ i .: '�i.eE':L:£`m�';3'.a"'.<:.i�:,vv.+�-2•�:drt&,.P.:+.�,_^�' '°i1). '' sr�:` `c.LL� '�-E?<FMs��:'<. ,'�,.`'',^�:�Saw,�k�'A'!5' ..:,y,�„4*n �.:.r:.�>�i�wti;^•sv:-�=.�� `!r.rr+tb:�_�,q�i.yx;:e.,..•rs+°,c,�,_ - C^. �qt'm�.� ,.swz i� .•t+,,: ' '.e%..i�.•r ° . -�7: �• y, .•Y,M��.,�yr.�'•r:. &�. -;!: y'i,. y,s, . . .., .... g CITY OF SALEM, MASSACHUSETTS yy�� BOARD OF HEALTH j 120 WASHINGTON STREET, 4TH FLOOR IIIIWW��'^ 11dd SALEM, MA 01970 TEL. 978-741-1800 DEQ 9 2 2006 FAx 978-745-0343 Kimberley Driscoll www.SALEM.COM CITY OF SALEM Mayor JOANNE SCOTT, MPH, RS, CHO BOARD OF HEALTH HEALTH AGENT 2006 APPLICATION FOR PERM( TO OPERATE A FOOD ESTABLISHMENT NAME OF ESTABLISHMENT y!iL7Pr� 1 � �I/'�*//I TEL# ADDRESS OF ESTABLISHMENT .3,�O/ h MAILING ADDRESS (if different) OWNER'S NAME � R Lig TEL# 9?d�- 1Y� ADDRESS ee CITY STATE dh zip - ..e-0 / 97 0 CERTIFIED FOOD MANAGER'S IfAME(S) CERTIFICATE#(s) (required in an establishment where potentially hazardous food is prepared.) EMERGENCY RESPONSE PERSON g 9-,n `e_ HOME TEL# HOURS OF OPERATION: Mon. �Tue. --Wed. Thu. —Fri. —Sat. Sun. TYPE OF ESTABLISHMENT FEE (check only). RETAIL STORE YES NO less than 1000sq.ft. =$ 50 1000-10,000sq.ft. =$100 more than 10,000sq.ft. =$250 . .. . . . ................... . - --------------..................--------- _-- - -- .............. ...............------ RESTAURANT YES NO less than 25 seats $100 25-99 seats =$150 more than 99 seats =$200 BED/BREAKFAST YES......NO------------------------------------------------------------------------------------$100--------------- ADDiTI^vNAIL PER-----M---IT---S----------------------------------------------------..............----------------------------------------------------------- MAKE (not just serve) ICE CREAM, YOGURT, SOFT SERVE YES NO $5 TOBACCO VENDOR YES NO $50 ALL NON-PROFIT(such as church kitchens) 11 NO $25 PERMIT FOR PASTEURIZATION. . . . . . . . . . d�� 6 r YES NO $10 *Please pay total with one check payable to the City of Sale This Permit is not transferable and must be reissued upon change of ownership. The Permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code, before any renovations, improvements, or equipment changes are made, all plans for such must be submitted to and approved by the Salem Board of Health. Pursuant to MGL Chapter 62C Section 49A, I certify under the pains and penalties of perjury that I, to my best owledge a belief, ve filed a tate tax returns and paid all state taxes required under the law. //z- at e Date fSocial Security or Federal Identification Number -------------------------------------------------------------- - -------------- ----6- ---------------------------------------- Revised 11/03/05 FOODAP2.adm Check#&Dale 01/13!2006 17:35 6174720706 GL LASS PAGE 02 R • G & L Laboratoriei ♦ Water Analysis ♦ Food/Sea ood Analysis Metals/Chernical Analysts t Mtcrobwlog+cal Testing 33 Newport Avenue, Qu,icy, MA 02171Tel (617) 328-3663 Paw. (617) 472-0706 REPOUT December 12.2005 Lab.I.D.#3548SR Attn: Mr.Chuck Puleo Puleo's Dairy 376 Highland Ave. Salem, MA 01970 Sample Received Date/Time: 11/30/x5,2:50-12M Sample Received Temperature:0.1° Sample Analysis DatetT)me: 1211105 11:00 AM Sample Identification:One O) ice cn am sample labeled: 1. Chocola a ice Cream(Sell by: 5/16/05) TEST METHOD: A.P.H.A. STANDt' RD METHOD TEST RESULTS: SAMPLE TQ -Ai.tCOLIFORM/c STANDARD PLATO COUNT/C C 32°C a 32°C I a t 4,400 Bacteriological Standard for 20 50,000 Frozen Desserts LABORATORY OUALITY CONTIt SLS: All samples were found to be propel ly cooled uporr receipt. Alf analyses were performed within A.RKA designated holding-times. Pipet.dilutior water,agar,air density at the plating are negative. Agar temperature at the plating is 44.0°C, CC:Salem Board of Health G & L Labs, Inc. p 1' Diana I,iu j Laboratory Director JAN 17 200 JAN 12 2006 CITY OF SALEM ABR 9,kLWLTH BOARD OF HEALTH )d Page t ofiV JAN 17 2006 CiTY OF SALEM BOARD OF HEALTH 02!2312006 17:35 6274720705 GL LABS PAGE 03 V11 -A" G & IL Laboratorics ♦ Water Analysts 4 Food/Se flood Analysis 4 Metals/Chctttieal Analv"iti ♦ M,crohiotagical Team& 33 Newport Avenue, Qhtncp. MA 02)71 rci (617) 128-I6h3 Fax (617) 472-07Q6 REPORT December 28, 2005 Lah. 1. D.4 35647R Alun: Mr. Chuck Puleo Pulco's Dairy 376 Highland Avc. Salem. MA 01970 Sample Received Date/Time, 12:22:}t- ; 30 PM Sample Received Temperature.-3 1 `C Sample Analysis Daterrime: 1.1237r 5. 11:00 AM Sample Identification;One(1)ice cieam sample labeled: 1. Vanilla ice Cream{Sell by: 513 1/05) TEST METHOD: A.P.H.A. STANf) \RD MUTHOD TEST RESULTS: SAMPLE TOTAL COLIFORM/q SFANDARDPLATE COUNTtt; (d:32%. rp� 32 C I t 2i00 Bacteriological Standard for 20 5(1,ti00 171-07cn DCSSCrts LABORATORY ORALITY CONTI OLS: All samples were found to be props rly cooled upon rcccil,l. All anal)%es+tcre pert irtned tvrthin A P.l I.rt designated holding-times. Pipet, dirutio n water,agar,air density at the plating irc,negative. Agar tcmperature at the plating is 44.0^C. CC:Salan Board of Health 6 Xe 1 I.trh.,. lite oiana Liu t.ahoralon Director I �� I � � U � JAN a 1 2006 Page I of I � A 6��ALEA4� The Commonwealth of Massachusetts a Executive Office of Health and Human Services Department of Public Health Food Protection Program 305 South Street, Jamaica Plain, MA 02130-3597 617-983-6712 617-983 7 Fa MITT ROMNEY <w GOVERNOR N9U t KERRY HEALEY LIEUTENANT GOVERNOR TIMOTHY R.MURPHY CITY Q/�� S/-,i_FlV,j SECRETARY BOARD CF PAUL J.COTE,JR. ' P COMMISSIONER - Charles--P-Bleo\ November 18,2005 <Puleo's Dairy Jl S/o tirgnlana Ave. Salem,MA 01970 Dear Mr.Puleo: On November 8, 2005, milk and/or milk products were collected from your plant by the Food Protection Program, Department of Public Health. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count pemvtted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 1999 Recommendations (PMO) is three hundred thousand s per cubic centimeter, 100 000 for individual producer milk). (300,000)colome p ,( p ) For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole,Lowfat& Skim Milk 20,000 10 Flavored Whole,Lowfat&Skim Milk 20,000 10 Cream,Half&Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results,please call the Dairy Plant Inspection Unit at(617)983-6751. ncerel E� V� Ellen A.Fitzgtons Supervisor Food and Drug Inspector cc:Board of Health Dairy Plant Inspection Unit S:\Bureau\Fpp\Dairy\SAMPLETR\DySm pl Ltr.doc MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Pul@o's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: James Hope Zip: _01970 Phone: 978-744-6455 Time In: - 9:00 AM Time Out: 9:45 AM Received in Lab by: S.W Date: 11-08-05 Time: 1:50 PM Rec'd Temp. Control: Raw: NA Past.: 2.0° C Date Tested: 11/9/05 Time Tested: 9:30 AM Temp. Control at Testing: Raw: NA Past.: 3.0° C DATE REPORTED: RBA ANALYST(S): RTD, RBA REVIEWED BY: RBA iuct Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 11/8/05 XXX Chocolate Quart Plastic 36°F 19-Nov xxx xxx xxx xxx xxx xxx 11/8/05 XXX Sweet Water 4 oz.Vial 40'F Tank xxx xxx xxx xxx xxx xxx 11/8/05 Raw Milk -F NA 11/8/05 JH-640 Homo 1/2 Gallon Plastic 36'F 19-Nov 05D-01273 <1 EPCC <250 EPAC NF NF _ 11/8/05 JH-641 Skim Quart Plastic 36°F 24-Nov 05D-01274 <1 EPCC <250 EPAC NF NF 11/8/05 JH-642 Chocolate Quart Plastic 36'F 19-Nov 05D-01275 <1 EPCC 36,000 EPAC' NF NF 11/8/05 JH- Light Cream Not Available °F xxx xxx xxx x 11/8/05 JH-644 Sweet Water 4 oz.Vial 40'F Tank 05D-01276 <1/100 mL <1 /100ML NA NA 11/8/05 JH-645 Glass Bottle 1/2 Gallon Glass xxx xxx 05D-01277 <5 RCC <25 RBC NA NA 11/8/05 JH-646 Egg Nog Pint Plastic 36'F 24-Nov 05D-01278 <1 EPCC <250 EPAC NA NF " Individual Producer XXX=Temp. Control '=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader e j 10/07/2005 15:37 6174720706 GL LABS PAGE 02 � Y G & L Laboratories ♦ Waicr Analvsis • Pood/ycatnnd Analyiis ♦ Metals/(.lirmual A) all y.. ♦ Microhinln£icnl Tc,iing 11 Ncwpnrl A,Cnnc, Ouhxv, MA 02171 TO. Inl7) 12R-k,01 D.,s- (t,17) 471-0700 REPORT nclohc, 4. ^00, Lab. L D.9 3502SR AltoMr.Chuck Puled I'ulco s Dairy 376 I IIghland Ave Salem, MA 01070 Sample Received Dnte/Time: 9/23/05.4:15 11N,11- .Sample N,tSample Received Temperature: -2.6°( Sample Analysis Date/Time: 9/29!05. 11:00 AM Sample Identification: Three(?) frozen dessert samples labeled. I . Vallilla 2, Pumpkin Pic 3. Sugar Free Maplc Walnut TEST METHOD: ARI LA. 51'AW)ARD MCTFIOI) TEST RESULTS: SAMPLE# TOTAL COLIFORM/s STANDARD PL.ATF; u IfC (d. 12'(' I I I 250 2 < I 2S0 3 4 pan Bacteriological Standard for 50 511,01111 Frozen Desserts LABORATORY OUALITY CONTROL)5: All samples were found to he properly cooled upon receipt All :nlalvse, ,vere perl�+nncd within t A designated holding-times. Pipet. dilution water• agar, air density 3t the plating arc negative Ag,,r lcmper.00rc ,11 th,: plating is 44.0°C CC: Salem Board of Health G & L 'ahs. ILIC, Diana Liu l,ahoralor-, Dircctorr Page 11,1 I 10/05/2005 11:31 6174720706 GL LABS PAGE 02 M G & L Laboratories ♦ Water Analysts t Food/Seafood Analysis ♦ Metals/Chetttieal Analysis ♦ Microbiological Testing, 33 Newport Avenue, Quincy, MA 02171 Tel: (617) 328.3663 Fax, (617) 472.0706 REPORT Septemher 22, 2005 Lab. 1.D.N 34912 Ann: Mr- Chuck Pulect Puleds Dairy 376 Highland Ave. Salem. MA 01970 Sample.Received Date/Time: 9115/05. 4.45 PM Sample Received Temperature: -1.6°C Sample Analysis Date/Time: 9/16/05, 11:45 AM Sample Identification: Three(3)frozen dessert samples labeled. I Fresh Banana 2. Chocolate Walnut Fudge 3 Vanilla TEST METHOD: A.P.H.A. STANDARD METHOD TEST RESULTS: SAMPLF.k TOTAL COLIFORM/g STANDARD PLATE COUNTh; (n?32'C @1 32°C 1 363 5,500 2 65 4,000 3 >450 160,000 Bacteriological Standard for 50 50,000 Frozen Desserts LABORATORY OUALITY CONTROLS: All samples were found to he properly cooled upon receipt. All analyses were performed within ATJ I.A designated holding-times. Pipet,dilution water,agar,air density at the plating arc negative. Agar temperature at the plating is 44.0°C. G & 1. Labs. Inc, Diana Liu Laboratory Director Pate I of I w The Commonwealth of Massachusetts `w Executive Office of Health and Human Services Department of Public Health Food Protection Program 305 South Street, Jamaica Plain, MA 02130-3597 617-983-6712 617-983-6770 - Fax MITT ROMNEY �� L;' �Illlll'vv'lllVlllf//IIII'I GOVERNOR KERRY HEALEY ('[Ey' �� ) 6 LIEUTENANT GOVERNOR S & 71005 TIMOTHY R.MURPHY SECRETARY CITY OF SALEM PAUL J.COTE,JR. BOARD OF H--: yLTH COMMISSIONER Charles_Puleo September 22,2005 Puleds Da' 376 Highland Ave. Salem,MA 01970 Dear Mr.Puleo: On September 12, 2005, milk and/or milk products were collected from your plant by the Food Protection Program, Department of Public Health. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 1999 Recommendations (PMO) is three hundred thousand (300,000)colonies per cubic centimeter,(100,000 for individual producer milk). For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole,Lowfat&Skim Milk 20,000 10 Flavored Whole,Lowfat&Skim Milk 20,000 10 Cream,Half&Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk(*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results,please call the Dairy Plant Inspection Unit at(617)983-6751. F' cerely, � ti�Ellen A.Fitz Supervisor Food and Drug Inspector cc:Board of Health Dairy Plant Inspection Unit S:\Bureau\Fpp\Dairy\SAMPLETR\DySmpiLtr.doe MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: PulBo's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: Michael Wall Zip: _01970 Phone: 978-744-6455 Time In: 7:45 AM Time Out: 7:55 AM Received in l RBA 9/6/05 10:30 AM Rec'd Temp. Control: Raw: NA* C Past.: Date Tested: 9/12/05 9/6/05 Time Tested: 2:30 PM Temp. Control at Testing: Raw: NA ° C Past.: DATE REPORTED: ANALYST(S): RTD, RBA REVIEWED BY: RBA )duct Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 9/12/05 XXX Whole Quart Glass 35'F 24-Sep 9/12/05 MW-5379 Chocolate Pint Plastic 35'F 24-Sep 05D-01025 <1 EPCC 1,800 NF NF J1 " Individual Producer XXX=Temp.Control '=Violation NA=Nat Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader r , _ The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Food Protection Program 305 South Street, Jamaica Plain, MA 02130-3597 617-983-6712 617-983-6770 - Fax MITT ROMNEY GOVERNOR KERRY HEALEY l s6 LIEUTENANT GOVERNOR TIMOTHY R.MURPHY SECRETARY PAUL J.COTE,JR. Zf�p� 111 COMMISSIONER / . .J lr i- L.�_ l .ri Charles Puleo f{t7j_i September 19,2005 Puleo's Dairy 376 Highland Ave. Salem,MA 01970 Dear Mr.Puleo: On September 6, 2005, milk and/or milk products were collected from your plant by the Food Protection Program, Department of Public Health. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 1999 Recommendations (PMO) is three hundred thousand (300,000)colonies per cubic centimeter,(100,000 for individual producer milk). For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole,Lowfat&Skim Milk 20,000 10 Flavored Whole,Lowfat&Skim Milk 20,000 10 Cream,Half&Half 20,000 I0 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt NIA 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. if you have any questions concerning these results,please call the Dairy Plant Inspection Unit at(617)983-6751. S n erely �BrXl>- llen A.�itsb6ns Supervisor Food and Drug Inspector cc:Board of Heattb Dairy Plant Inspection Unit S:tBureautFpp\Dairy\SAMPLETRtDySmplLtr.doc L MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: James Hope Zip: _01970 Phone: 978-744-6455 Time In: 9:30 AM Time Out: 10:30 AM Received in Lab by: RBA 9/6/05 10:30 AM Recd Temp. Control: Raw: " C Past.: 2.0° C Date Tested: Time Tested: Temp. Control at Testing: Raw: ° C Past.: 3.0' C DATE REPORTED: ANALYST(S): RBA REVIEWED BY: iuct Information Laboratory Results Date DFD Product Container Sample Cude# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 9/6/05 XXX Whole Quart Glass 35'F 17-Sep 9/6/05 XXX Sweet Water 4 oz.Vial 39'F Tank 9/6/05 JH-301 Homo Pint Plastic 35"F 17-Sep 0513-00982 <t EPCC 260 NF NF 9/6/05 - JH-302 Skim 1/2 Gallon Plastic 35'F 17-Sep 05D=00983 36' 5200 NF NF 9/6/05 JH-304 Light Cream 1/2 Gallon Plastic 35'F 17-Sep 05D-00984 <1 EPCC 1500 NF NF 9/6/05 JH-305 Sweet Water 4 oz.Vial 39'F Tank 05D-00985 <1/100ML NA NF NF " Individual Producer ` XXX=Temp. Control Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Tao Numerous To Count SPR=Spreader • j 09/12/2005 16:11 6174720706 GL LABS PAGE 02 r �- , G & L +- Laboratories ♦ Water Analysis ♦ Food/Scafood Analysis Metals/Chemical Analysis ♦ Microbiological Testing 33 Newport Avenue,Quincy, MA 021,71 Tel: ;617) 328-3663 Fax: (617) 472.0706 REPORT August 16. 2005 Lab.I. D.#34379 Attn: Mc Chuck Puleo Pulco's Dairy ��\\ 376 Highland Ave. Salem,MA @ 1970 Sample Received Datefrime: g/1 I/05,4:10 PM Sample Received Temperature. 0.9°Cp Sample Analysis Date/Time: 8/12/05. 11:30 AM � SSP Sample Identification: Two(2)frozen dessert samples labeled ' �P 1. Coffee (,\� 2. Vanilla 130 TEST METHOD: A.P.H.A. STANDARD METH91) TEST RESULTS.- SAMPLE ESULTS:SAMPLE TOTAL COLIFORM/g STANDARD PLATE COUNT/9 @ 32°C o1 32°C 1 < 1 41,000 2 < 1 19.000 Bacteriological Standard for 50 501000 Frozen Desserts LABORATORY OUALITY CONTROLS: All samples were found to be properly cooled upon receipt.All analyses were performed within A.P.H.A designated holding-times.Pipet, dilution water,agar,air density at the plating are negative, Agar temperature at the plating is 44.0°C. CC: Salem Board of Health G & L Labs, Inc. M" Laboratory Direc vv ti 0 9 Gxl� 5� E �p N Page I of 1 07!29/2005 11:25 6174720705 G&L LABS PAGE e2 M� G & L Laboratories - + Water Analysis ♦ Food/Seafood Analysis ♦ Metals/Chemical Analysis ♦ Microbiological Testing 33 Newport Avenue, Quincy, MA 02171 Tet (617) 328.3663 Fax (617) 472-0706 REPORT July 19."005 Lab. t. D.1/33808 Ami: Mr,Chuck Puleo Pulco's Dairy 376 Highland Ave. Salem,MA 01970 Sample Received DatelTime: 7714105,2:40 PM Sample Received Temperature: -1.4°C Sample Analysis Date/Time: 713/05, 11:00 AM Sample Identification: Two(2)frozen dessert samples labeled- 1. Vanilla 2. Black Raspberry TEST METHOD: A.P.H.A. STANDARD METHOD TEST RESULTS: SAMPLE TOTAL COLIFORM/; STANDARD PLATE COUNT/n n VC /d; 3fc 1 < 1 19.000 2 < 1 1.200 Bacteriological Standard for 50 511,0041 Frozen Desserts LABORATORY DUALITY CONTROLS- Ail samples were found to be property cooled upon receipt, All analyses were perfrumcd within A.P-ILA designated holding-times. Pipet,dilution water,agar,air density at the plating arc negative. A_ar temperattu-c at the plating is 44.0°C. CC: Salem Board of Health G & L Labst lylc. Diana 'Liu Laboratory Director t'a�c I of 1- 07/13/2005 17:21 6174720706 G AND L LABS PAGE 01 M".11111aftG & L Laboratories ♦ Water Analysis + Food/Seafood Analysis Mclals/Chemical Analysis Microbiological Testing 33 Newport Avenue, Quvncy, MA 02171 Tel: (617) 328-36&3 Fax (617) 472.0746 REPORT July S. 2005 Lab.d.D.#33463 Att�Petco try 376 Highland Ave. Salem, MA 01970 Sample Received Date/Timc:6124105.4:10 PM Sample Received Temperature: -4.2°C Sample Analysis Date/Time: 6127/05. 11:00 AM Sample Identification:Two(2)frozen dessert samples labeled: 1. Apple Pic 2. Maple Walnut TEST METHOD: A.P.H.A. STANDARD METHOD TEST RESULTS: SAMPLE TOTAL COLIFnRMte STANDARD PLATE COUNTIrr @ 32'C (r7 32"C i < i <250 2 < 1 19.000 Bacteriological Standard for 50 50,Opo Frozen Desserts LABORATORY OUALITY CONTROLS: All samples were found to be properly cooled upon receipt. All analyses were performed within A.P.H.A designated holding-times. Pipet, dilution water,agar.air density at the plating are negative. Agar temperature at the plating is 44.0'C. CC:Salem Board of Health G & L Labs, Inc. Diana Liu Laboratory Director- Page irector- s Pa eIofI 06/06/2005 1G & L 454 6174720706 G AND L LAR; PAGE 02 or r' Lab ato les + Water Analysis + Food/Seafood Analysis ♦ MetalVChemical Analysis + Microbiological Testing .33 Newport Avenue, Quincy, MA 02171 Tel: (617) 328.3663 Fax: (617) 472-0706 REPORT May 31,2005 Lab.1. D.M 33031 Attn: Mr.Chuck Pulco Puleds Dairy 376 Highland Ave. Salem, MA 01970 Sample Received Date/time: 5126/05,2:30 PM Sample Received Temperature:-3.1°C Sample Analysis Date/Time: 5/27105, 11:00 AM Sample Identification: Two(2)frozen dessert samples labeled: 1. Peanect Butter 2. Chocolate Walnut Fudge TEST METHOD: A,P.H.A. STANDARD METHOD TEST RESULTS: SAMPLE# TOTAL COjjFORM/G STANDARD PLATE COUNT/g @ 32°C @ 32.°C l < 1 <250 2 < 1 <250 Bacteriological Standard for so 50,000 Frozen Desserts LABORATORY OUALITY CONTROLS: Alt samples were found to be properly cooled upon receipt. All analysts were performed within A.P.H.A designated holding-times. Pipet,dilution water,agar,air density at the plating are negative Agar temperature at the plating is 44.0°C. CC:Salem Board of Health G & L Labs, Inc. Diana Liu Laboratory Director Page 1 of I The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Food Protection Program 305 South Street, Jamaica Plain, MA 02130-3597 MITT ROMNEY 617-983-6712 617-983-6770 - Fax GOVERNOR KERRY HEALEY LIEUTENANT GOVERNOR O RONALD PRESTON SECRETARY C PAUL J.COTE,JR. APR, 21 2005 COMMISSIONER CITY OF SALEM BOARD OF HEALTH Charles Yuleo April 14,2005 Puleo's Dairy 376 Highland Ave. Salem MA 01970 Dear Mr. Puleo: On April 4, 2005, milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 1999 Recommendations(PMO)is three hundred thousand(300,000)colonies per cubic centimeter,(100,000 for individual producer milk). For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole,Lowfat&Skim Milk 20,000 10 Flavored Whole,Lowfat& Skim Milk 20,000 10 Cream,Half&Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products NIA 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results,please call the Dairy Plant Inspection Unit at(617)983-6751. Sincerely, lien A. Fitzgibb- s Supervisor Food and Drug Inspector cc:Board of Health Dairy Plant Inspection Unit S:\Bureau\Fpp\Dai ry\SAMPLETR\DySm p[Ltr,doc MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Resample Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: Michael Wall Zip: _01970 Phone: 978-744-6455 Time In: 7:15 AM Time Out: 7:40 AM Received in Lab by: RTD 4/4/05 Time: 9:00 AM Rec'd Temp. Control: Raw: NA Past.: 1.5° C Date Tested: 4/4/05 Time Tested: 2:00 PM Temp. Control at Testing: Raw: NA Past.: 2.5° C DATE REPORTED: 4/14/05 ANALYST(S): RBA, RTD REVIEWED BY: RTD iuct Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 3/28/05 XXX Skim Quart Glass *35*F 23-Apr 3/28/05 MW-5348 Chocolate Quart Plastic 35'F 16-Apr 05D-00402 <1 EPCC 2,000 NF NF 3/28/05 MW-5349 Chocolate Pint Plastic 35'F 16-Apr 05D-00403 <1 EPCC 260 NF NF " Individual Producer XXX=Temp. Control *=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader Cooler Thermometer 04/04/2005 14:19 6174720706 G AND L LABS PAGE 02 G & L La boratories ♦ Water Analysis t food/Seafood Analysis Metals/Chemical Analysis 4 Microbiological Testing 33 Newport Avenuc, Quincy, MA 02171 Tel: (617) 328-3663 Fox; (617) 472-0706 REPORT March 21, 2005 Lab.I.D.#32390 Attn:Mr.Chuck Puleo PulWs Dairy 376 Highland Ave. Salem,MA 91970 Sample Received Date/Time:3/16/05,3:25 PM Sample Received Temperature:-2.5°C Sample Analysis Date/Time!3/17/05, 11:00 AM Sample Identification:Two(2)frozen dessert samples labeled: 1. Black Raspberry 2. Chocolate Chip TEST METHOD: A.P.H.A, STANDARD METHOD TEST RESULTS: SAMPLE TOTAL COLIb'ORMJQ STANDARD PLATE COUNT/e @ 32°C @ 32°C 1 < 1 <250 2 < 1 <250 Bacteriological Standard for 50 50,000 Frozen Desserts LABORATORY OUALITY CONTRO> S: Ali samples were found to be properly etioled upon receipt. All analyses were performed within A.P.H.A designated holding-times.Pipet,dilution water,agar,air density at the plating are negative.Agar temperature at the plating is 44.0°C. CC:Salem Board of Health G &L Labs, Inc. Dim&Liu Laboratory Director Page t of 1 03/10/2005 17:25 5174720706 G AND L LABS PAGE 01 G & L. ♦ \\Jlii .1.1.i1..i, ♦ In�tll;�r.�l.gvl \n.J� a• ♦ \��Lil.�l �li'IC 11 �� l•l llty 4qq �NL`r�•��'i� Ir:;iir • FACSIMILE "TRANSMITTAL. SHEET ro. Dalc- Company alecy-N dp TO ---- Fax Froml@(+ RcpOrls Quolauon /For Rccicu i ! Rcply ASAP Olha Remarks =eA— Cr-ep re—ec`r NIJk4M-R0t- rq(iCS � ,, . INOYIN(;I,•O1'NNG IIIISONFi 03/10/2005 17:25 6174720706 G AND L LABS PAGE 02 G & L Laboratories i Water Analysis ♦ Food/Seafood Analysis 4 Metals/Chemical Analysts ♦ Microbiological Testing 33 Newport Avenue, Quincy, MA 02171 Tel: (617) 328=3663 Fax: (617) 472.0706. REPORT � j�F,�bruary 23.2005 Lalr,1.D.N-32242 Attn: Mr.Chuck Puleo Puleo's Dairy Iq� J 100 376 Highland Ave. C/ t'd��r Salem, MA 01970 �� o Sample Received Date/Time:2/18/05, 3:30 PM F ryq Sample Received Temperature: -4.1°C Sample Analysis Date/Time: 2/18/05,5:00 PM Sample Identification: Two(2)frozen dessert samples labeled: 1. Maple Walnut 2. Chocolate Chip TEST METHOD: A.P.H.A_ STANDARD METHOD TEST RESULTS: SAMPLEN TOTAL COLIFORMIC STANDARD PLATE COUNT/g @ 32`C @ 320C 1 , l 20,000- 2 < 1 950 Bacteriological Standard for SO 50;0110 Frozen Deacertc LABORATORY OUALITYCONTROLS: All samples were found to be properly cooled upon receipt. All analyses were performed within A.P H.A designated holding-times. Pipet,dilution water,agar,air density at the plating are negative.Agar temperature at the plating is 44.09C. CC:Salem Board of Health G & I. Labs, Inc. Diana Liu Laboratory Director 05/11/2005 15:00 6174720706 G AND 1_ LABS PAGE 01 t G & L �f Laboratories • Water Analysis + Food/Scatnod Analysis ♦ Metals/Chernical Analysis ♦ Mrroh rik g+cal Testing 33 Newport Avenue, Quincy. MA 02171 Tel (617) 328,1663 Fax (017) '472-0706 FACSIMILE TRANSMITTAL SHEET ro: Ms. Joanne Scott Date; Company: Salem Board of Health ! TeL 978-741-1500or Fax: 978-745-0343 l-i' Maik jsrntt(a�eaem.cnm 978479-991/ (Ce� From: ❑ Raw Data M Lab Reports 'ie For Review 0 Reply ASAP ❑ Other Remarks: , CI Cf-eam C - - ,! r, �� ': II II JJIiG_131 i11 III Ifi IIi L. � .. NUMBER OF PAGES:_,,. (NOT 1NCI_UDING THIS ONF.) 05/11/2005 15:00 6174720706 G AND L LABS PAGE 02 • S G & L �� Laboratories ra ories ♦ Water Analysis + FoodlSeatood Analysis ♦ Mclals/Chemical Analysis t Microbiological Testing 33 Newport Avenue, Quincy, MA 02171. Tei: (617) 328-3663 Fax: (617) 472.0706 REFORT April V9, 2005 Lab.I.D.#32619 Attn: Mr. Chuck Puleo Pulco's Dairy 376 Highland Ave. Salem, MA 01970 Sample Received Daterrime:4114/05.2:55 PM Sample Received Temperature: -1.4'C Sample Analysis Datell'ime:4/14/05,4:00 PM. Sample Identification: Two(2)frozen dessert samples labeled: 1. Vanilla 2. Chocolate Walnut Fudge TEST METHOD: A.P.H.A. STANDARD METHOD TEST RESULTS: SAMPLE TOTAL COLIFORMig STANDARD PLATE COUNT/a r@ 32-C a, 32'C 1 < i <250 2 3 320 Bacteriological Standard for 50 401000 Frozen Desserts LABORATORY QUALITY CONTRQLS: All samples were found to be properly cooled upon receipt. All analyses were perfonned within ARRA designated holding-times. Pipet.dilution water.agar,air density at the plating are negative. Agar temperature at the plating Is 44&C. CC:Salem Board of Health G & L Labs. Inc. Diana 1.iu ' Laboratory Director Page I of I �- The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Food Protection Program 305 South Street, Jamaica Plain, MA 02130-3597 MITT ROMNEY 617-983-6712 617-983-6770 - Fax GOVERNOR KERRY HEALEY LIEUTENANT GOVERNOR RONALD PRESTOND D Il 400 SECRETARY R PAUL J.COTE,JR. COMMISSIONER APR. 2 6 2005 CITY OF SALEM Charles Puleo BOARD OF HEALTH April 21,2005 Puleo's Dairy 376 Highland Ave. Salem,MA 01970 Dear Mr. Puleo: On April 11, 2005, milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 1999 Recommendations(PMO)is three hundred thousand(300,000)colonies per cubic centimeter,(100,000 for individual producer milk). For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole,Lowfat& Skim Milk , 20,000 10 Flavored Whole,Lowfat&Skim Milk 20,000 10 Cream,Half&Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results,please call the Dairy Plant Inspection Unit at(617)983-6751. Sincerely, dA Ln2 Ellen A.FitZgi �� Supervisor Food and Drug Inspector cc: Board of Health Dairy Plant Inspection Unit S:\Bureau\Fpp\Dairy\SAMPLETR\DySmpiLtr.doc MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Resample Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: Michael Wall Zip: _01970 Phone: 978-744-6455 Time In: 7:15 AM Time Out: 7:40 AM Received in Lab by: RBA 4/11/05 Time: 1:00 PM Rec'd Temp. Control: Raw: NA Past.: 3.5° C Date Tested: 4/12/05 Time Tested: 12:00 PM Temp. Control at Testing: Raw: NA Past.: 3.0° C DATE REPORTED: 4/15/05 ANALYST(S): RBA, RTD REVIEWED BY: RTD ,duct Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 4/11/05 XXX Skim Quart Glass "35'F 23-Apr 4/11/05 MW-5348 Chocolate Quart Plastic 35'F 16-Apr 05D-00402 <1 EPCC 8,100 NF NF 4/11/05 MW-5349 Chocolate Pint Plastic 35'F 16-Apr 05D-00403 <1 EPCC <250 EPAC NF NF Individual 3roducer XXX=Temp. Control *=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Toa Numerous To Count SPR=Spreader Cooler Thermometer r kms✓ -� - The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Food Protection Program 305 South Street, Jamaica Plain, MA 02130-3597 MITT ROMNEY 617-983-6712 617-983-6770 - Fax GOVERNOR KERRYEY GOVERNOR � o LIEUTENANT GOVERNOR 1111 RONALD ECRE ARYTON APR 0 7 2005 PAUL J.COTE,JR. COMMISSIONER CITY OF SALEM BOARD OF HEALTH Charles Puleo April 5,2005 Puleo's Dairy 376 Highland Ave. Salem,MA 01970 Dear Mr.Puleo: On April 28, 2005, milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 1999 Recommendations(PMO)is three hundred thousand(300,000)colonies per cubic centimeter, (100,000 for individual producer milk). For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the FMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole, Lowfat&Skim Milk 20,000 10 Flavored Whole,Lowfat&Skim Milk 20,000 10 Cream,Half&Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products NIA 10 Yogurt NIA 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results,please call the Dairy Plant Inspection Unit at(617)983-6751. Sincerely, f �' 0 (�qen'2) Ellen A.Fitzgibbons Supervisor Food and Drug Inspector cc: Board of Health Dairy Plant Inspection Unit S:\Bureau\Fpp\Dairy\SAMP LETR\DySmpl Ltr,doc MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Resample Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: Michael Wall Zip: _01970 Phone: 978-744-6455 Time In: 7:30 AM Time Out: 7:50 AM Received in Lab by: RBA Date:3/28/05 Time:10:05AM Rec'd Temp.10:05 Control: Raw: NA Past.: 1.5 ° C Date Tested: 3/28/05 Time Tested: 2:40 PM Temp. Control at Testing: Raw: NA Past.: 2.5° C DATE REPORTED: 4/4/05 ANALYST(S): RBA REVIEWED BY: RTD tuct Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors IPhosphatasel Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 3/28/05 XXX Skim Quart Glass 35'F 9-Apr 3/28/05 MW-5342 Chocolate Pint Plastic 35'F 2-Apr 05D-00397 <1 EPCC <250 EPAC NF NF Individual Producer XXX=Temp. Control '=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader p. The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Food Protection Program 305 South Street, Jamaica Plain, MA 02130-3597 MITT ROMN617-983-6712 617-983-6770 - Fax GOVEERNORRNOR KERRY HEALEY LIEUTENANT GOVERNOR RONALD PRESTON SECRETARY PAUL J.COTE,JR. COMMISSIONER HEARING NOTICE ORDER: EVIMEDIATE SUSPENSION OF AUTHORIZATION TO SELL------ STANDARD PLATE COUNT VIOLATIONS March 3,2005 Chuck Puleo, Owner Puleo's Dairy 376 Highland Ave. Salem, MA 01970 Certified Mail: 7003 0 500 0004 3287 0562 Dear Mr. Puleo: Enforcement procedures provided for in Massachusetts regulation 105 CMR 541.018 (C) (2): Milk and Milk Products. Grade A Condensed and Dry Milk Products. Grade A Condensed and Dry Whev. and Milk Pasteurization Plants require the immediate suspension of one or more operations, or the sale of product(s) in violation whenever three of the last five samples of a pasteurized milk product were in violation of the bacterial standard. These enforcement procedures are also required under the Interstate Milk Shippers Program as provided for in the USPHS Pasteurized Milk Ordinance, 1995 Recommendations (PMO). Three of the last five samples of chocolate milk collected at your plant were in violation of the standard plate count (SPC) of 20,000 per ml. Accordingly, your license to sell pasteurized chocolate nulk is hereby suspended, effective immediately. This suspension shall remain in effect until the following conditions are satisfied: (1)the cause of the contamination has been determined; (2)the cause of the contamination has been corrected; and (3) an inspection of your plant conducted by an inspector from flus Division results in a finding that the cause of the contamination has been properly determined and corrected. MA CITY OF SALEM! BOARD OF HEALTH -2- The Food Protection Program shall take samples of your pasteurized chocolate milk at a rate of not more than two per week on separate days within a three-week period. Full reinstatement of your license to sell chocolate milk shall be instituted after the three (3) consecutive samples are found to be in compliance with the coliform and bacteria standards set forth in Section 7 of the PMO. PLEASE TAKE NOTE THAT YOU ARE REQUIRED BY THIS ORDER TO IMMEDIATELY CEASE AI.L SALES OF CHOCOLATE MILK. FAILURE TO DO SO WILL RESULT IN COURT ACTION AND THE POSSIBLE IMPOSITION OF CRIMINAL PENALTIES. You are entitled to request a hearing if you object to all or part of this order. If you request a hearing, the Division will hold one within 72 hours of your request in accordance with the requirements of 105 CMR 541.013 and 541.015. To request a hearing, you must write or call me at the following address and phone: Massachusetts Department of Public Health, Food Protection Program, 305 South Street, Jamaica Plain, MA 02130, (617)983-6712. THIS ORDER SHALL BE POSTED IN YOUR FACILITY BY THE DEPARTMENT'S DESIGNATED AGENT AND SHALL REMAIN POSTED UNTIL THE DEPARTMENT RESCINDS THE ORDER. Thank you for your immediate attention to this matter. Sincerely, Ellen A.Fitzgibbons Supervisor Dairy Plant Inspection Unit Enc.: G.7,...� cc: lSl'vewsUury Board of Health Legal Office,MDPH I# MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo'sDairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: Dave Nabreski Zip: _01970 Phone: 978-744-6455 Time In: 10:15 AM Time Out: 11:20 AM Received in Lab by: RTD Date:2/22/05 Time:1:40PM Rec'd Temp. Control: Raw: 1.5° C Past.: 1.5° C Date Tested: 2/23/2005 Time Tested: 12:30PM Temp. Control at Testing: Raw: 3.0°C Past.: 3.0°C DATE REPORTED: 2/28/2005 ANALYST(S): RTD, JAMS REVIEWED BY: RBA lust Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# I or gram or gram pg/mL ;• 2/22/05 XXX Raw Milk 4 oz. Vial 38.8°F Tank 2/22/05 XXX Whole Quart Plastic 39°F 5-Mar 2/22/05 XXX Sweet Water 4 oz.Vial 50°F Tank 2/22/05 DN-130 Raw Milk 4 oz. Vial 38.8°F Tank 05D-00262 NA 3,000 NF NA " 2/22/05 DN-131 Homo Quart Glass 39°F 5-Mar 05D-00263 <1 EPCC 13,000 NF <1 2/22/05 DN-132 Skim 1/2 Gallon Plastic 39°F 12-Mar 05D-00264 <1 EPCC <250 EPAC NF <1 ` =s ' ^Chod _ 4 <1 EPCC >200,000EPAC` 2/22/05 DN-133' r olate ' Pint.Plastic„ 39 F:, ., "26-Feb . :05D-00265., 2/22/05; DN-134' . Light Pint Plastic .. , 39°F 5-Mar -i '..05D-00266?` "12``' '' ':60;000EPAC`.( NF. . 2/22/05 DN-135 Sweet Water 4 oz.Vial 50°F Tank 05D-00267 <1/100ML NA NA NA 2/22/05 DN-136 Glass Bottle Quart Glass NA NA 0513-00268 <2 RCC <10RBC NA NA 2/22/05 DN-137 Empty Vial 4 oz. Vial NA NA 0513-00269 I <2 RCC <41RBC NA NA " Individual Producer XXX=Temp. Control `=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Food Protection Program 305 South Street, Jamaica Plain, MA 02130-3597 MITT ROMNEY 617-983-6712 617-983-6770 - Fax GOVERNOR KERRY HEALEY LIEUTENANT GOVERNOR RONALD PRESTON SECRETARY CHRISTINE C.FERGUSON COMMISSIONER �y Charles Puleo MAR - 8 286 March 3,2045 Puleo's Dairy CITY OF SALEM 376 Highland Ave. BOARD OF HEALTH Salem,MA 01970 Dear Mr.Puleo: On February 22, 2005, milk and/or milk products were collected I om your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 1999 Recommendations(PMO)is three hundred thousand(300,000)colonies per cubic centimeter,(104,044 for individual producer milk). For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.440 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT ' COUNT Whole,Lowfat&Skim Milk 20,000 10 Flavored Whole, Lowfat&Skim Milk 20,000 10 Cream,Half&Half 24,044 10 Egg Nog 20,000 10 Cultured Milk and Milk Products NIA 10 Yogurt NI/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*)on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. if you have any questions concerning these results,please call the Dairy Plant Inspection Unit at(617)983-6751. Sinf,erely, Ellen A.Fitzgibbon Supervisor Food and Drug Inspector cc:Board of I iealth Dairy Plant Inspection Unit_ S:\Bureau\Fpp\Dairy\SAiMP LETR\DySmplLtr.doc f MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Routine/Resample Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: Michael Wall Zip: _01970 Phone: 978-744-6455 Time In: 7:15 AM Time Out: 7:45 AM teceived in Lab by: RTD Date: 10/6/03 Time: 9:35 AM Recd Temp. Control: Raw: NA Past.: 1.0°C )ate Tested: 10/6/2003 Time Tested: 10:30 AM Temp. Control at Testing: Raw: NA Past.: 1.0°C DATE REPORTED: 10/21/2003 ANALYST(S): JAMS, RTD REVIEWED BY: RBA ict Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 10/6/03 root Skim Quart Glass 37°F 18-Oct root root root root roa 10/6/03 0o Sweet Water 4 oz. Vial 37°F Tank root root root 10/6/03 MW-4549 Chocolate Quart Plastic 37°F 18-Oct 03D-01226 <1 ECC 590 NF <1 10/6/03 MW-4550 Chocolate Pint Plastic 37°F 18-Oct 03D-01227 <1 ECC <250 ESPC NF <1 10/6/03 MW-4551 Sweet Water 4 oz.Vial 371 Tank 03D-01228 <1/100 ML NA NA NA 10/6/03 MW-4552 Empty Vial 4 oz. Vial NA NA 03D-01229 <2 RCC <4 RBC NA NA " Individual Producer KXX=Temp. Control '=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: Michael Wall Zip: _01970 Phone: 978-744-6455 Time In: 7:30 AM Time Out: 8:15 AM Received in Lab by: JAMS Date: 2/10/04 Time: 11:54AM Recd Temp. Control: Raw: 2.0°C Past.: 2.0°C Date Tested: 2/10/2004 Time Tested: 2:00 PM Temp. Control at Testing: Raw: 2.5°C Past.: 2.0°C DATE REPORTED: 2/17/2004 ANALYST(S): JAMS, RTD REVIEWED BY: RTD Product Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 2/10/04 XXX Raw Milk 4 oz.Vial 39'F Tank root root 2/10/04 XXX Skim Quart Plastic 367 21-Feb toot roa M root root 2/10/04 XXX Sweet Water 4 oz. Vial 35°F Tank root root root xxx xxx 2/10/04 MW-5000 Raw Milk 4 oz.Vial I 39°F Tank 04D-00164 NA 82,000 NF NA 2/10/04 MW-5001 Homo Quart Glass 36'F 21-Feb 04D-00165 <1 ECC 1,600 NF <1 2/10/04 MW-5002 Skim Quart Plastic 36°F 21-Feb 04D-00166 <1 ECC <250 ESPC NF <1 2/10/04 MW-5003 Chocolate Pint Plastic 36°F 21-Feb 040-00167 <1 ECC 520 NF <1 2/10/04 MW-5004 Light Cream Half Gallon Plastic 36°F 21-Feb 04D-00168 <1 ECC 400 NF <1 2/10/04 MW-5005 Sweet Water 4 oz. Vial 35°F Tank 04D-00169 <1/100 ML NA NA NA Individual Producer XXX=Temp. Control '=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader I MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA I Inspector: Dave Nabreski Zip: _01970 Phone: 978-744-6455 Time In: 10:15 AM Time Out: 11:20 AM Received in Lab by: RTD Date:2122/05 Time:1:40PM Recd Temp. Control: Raw: 1.5°C Past.: 1.5°C Date Tested: 2/2312005 Time Tested: 12:30PM Temp.Control at Testing: Raw: 3.0°C Past.: 3.0°C DATE REPORTED: 2/2812005 ANALYST(S): RTD,JAMS REVIEWED BY: RBA iuct Information Laboratory Results Date jDFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type i Type I Te p. or other Sample# or gram I or gram 1 pg/mL 2/22/05 XXX Raw Milk 4 oz.Vial 38.8°F Tank ** 2122/05 XXX Whole Quart Plastic 39°F 5-Mar 2!22/05 XXX Sweet Water , 4 oz.Vial 50°F Tank ! 2/22/05 IDN-130 Raw Milk 4 oz.Vial ' 38.8°F Tank 05D-00262 I NA 3,000 NF NA 2122105 IDN-131 Homo Quart Glass ( 39°F 5-Mar 0513-00263 1 <1 EPCC 13,000 NF <1 2122105 DN-132 Skim 1/2 Gallon Plastic 39°F 12-Mar 05D-00264 <1 EPCC 4 <250 EPAC NF c1 + 2/22/05 IDN-133 Chocolate Pint Plastic - i 39°F 26-Feb 05D-00265 I <1 EPCC I >200,000EPAC' NF I <1 It 2/22/05 DN-134 Light Cream Pint Plastic 39°F 5-Mar 05D-00266 12' 60,000EPAC' ( NF ( - <1 2/22/05 DN-135 Sweet Water 4 oz.Vial 50°F Tank 05D-00267 <1/100ML NA NA NA 2/22/05 IDN-136 Glass Bottle Quart Glass NA NA 05D-00268 Ij <2 RCC <10RBC NA NA 2/22/05 JON-137 Empty Vial I 4 oz.Vial NA i NA 0513-00269 I <2 RCC i <4RBC NA NA "" Individual Producer 1 ' XXX=Temp. Control *=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: Michael Wall Zip: _01970 Phone: 978-744-6455 Time In: 9:45 AM Time Out: 10:30 AM Received in Lab by: RBA Date: 9/15/03 Time: 12:55 PM Recd Temp. Control: Raw: 2.0°C Past.: Date Tested: 9/15/2003 Time Tested; 2:00 PM Temp. Control at Testing: Raw: 2.0°C Past.: DATE REPORTED: 9/20/2003 ANALYST(S): JAMS, RBA REVIEWED BY: JM tuct Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 9/15/03 xxx Raw Milk 4 oz.Vial 42°F Tank xxx xxx xxx xxx xxx 9/15/03 xxx Skim 1/2 Gallon Plastic 36°F 27-Sep xxx )ON xxx xxx xxx 9/15/03 MW-4486 Raw Milk 4 oz.Vial 42°F Tank 03D-01137 NA 9,900 NF I NA 9/15/03 MW-4487 Homo 1/2 Gallon Plastic 36°F -27-Sep 03D-01138 <1 ECC <250 ESPC NF <1 9/15/03 MW-4488 Skim 1/2 Gallon Plastic 36°F 27-Sep 03D-01139 <1 ECC <250 ESPC NF <1 :9/15/03= MW-4489 1 `;ibhocola4e'tt :=Pint Plastic 366F + 20-Sep''. 03D-01140. 7 , ; . 68,000 ESPC '`I' " NF <1.` ` 9/15/03 MW-4490 Light Cream Pint Plastic 36°F 27-Sep 03D-01141 <1 ECC <250 ESPC NF <1 "Individual Producer XXX=Temp. Control Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: Everett 1. C. Gasbarro Zip: _01970 Phone: - 978-744-6455 Time In: 9:00 AM Time Out: 9:40 AM Received in Lab by: JAMS Date: 9/20/04 Time: 12:15 PM Recd Temp. Control: Raw: NA Past.: 2.0'C Date Tested: 9/20/2004 Time Tested:2:30 PM Temp. Control at Testing: Raw: NA Past.: 2.0°C DATE REPORTED: 9/30/2004 ANALYST(S): JAMS REVIEWED BY: RTD educt Information Laboratory Results Date DFD Product Container Sample Code# Lab I Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type Type J Temp. or other Sample# or gram o � XXRaw Ml 'u F Vaik2012004 - , nk ,'' Not`AvaiablM{ r gram I yg/mL .: ? 'a - •,.: "� _ 9/20/2004 XXX Homo Half Gallon Plastic 35°F 2-Oct xxx xa�c boc �ocx 9/20/2004 XXX Sweet Water 4 oz.Vial 35°F Tank oo xxx xxx )oo( )oot ::,,"• _ .,�. .,�.,,, -. ., n .�. r* '• - ";3;�'.:�'' ' '`' 99/20/2004, EG ry t,,•u'.. /Rave lvlilk.w= -..< 4,dz: al .,^4 ate« E, F 1?^+Tank NGi:Aveilatila,t r 't ,,. ., _ .. r .; , ,.• OF 9/20/2004 EG-526 Homo Pint Plastic 35°F 2-Oct 04D-01203 <t ECC <250 ESPC NF <1 9/20/2004 EG-527 Skim Quart Glass 35°F 2-Oct 04D-01204 <1 ECC <250 ESPC NF <1 9/20/204. EG-528 (,; Chocolate= •'' '.Quart Plastic ', ;,? 35'F 25-Sep 04D-01205 ` `t«1 ECC" >570,000ESPC': :. 'NF 9/20/2004 EG 529 LiOht Cream Half Gallon Plastic 35*F 2-Oct 04D-01206 <1 ECC <250 ESPC NF <1 9/20/2004"r EG';,MF { '.Glass Bottle N/A rN/A3'°, Not Available 9/20/2004 EG-530 Sweet Water 4 oz.Vial I ^ 35°F Tank 04D-01207 I <1/100 ML NA NA NA "` Individual producer XXX=Temp. Control '=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader CITY OF SALEMv MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR a• SALEM, MA 01970 TEL. 978-741-1800 _ FAx 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT COMMONWEALTH OF MASSACHUSETTS PERMIT TO OPERATE A FOOD ESTABLISHMENT In accordance with regulations promulgated under authority of Chapter 94, Section 305A and Chapter III, Section 5 of the General Laws, to operate a Food Establishment in the City of Salem is hereby granted to: Type of Establishment: DAIRY Name of Establishment: Puleo's Dairy Address of Establishment: 376 Highland Avenue Owner's Name: Charles M. Puleo Restrictions: Application Date: 12/13/2004 Permit for Food Establishment Frozen Desserts/Ice Cream Permit for the Sale of Tobacco Products Permit For Pasteurization 001-05 (\ These Permits Expire December 31, 2005 This permit is not transferable and must be reissued upon change of ownership or location. The permit must be posted in a prominent location in the Establishment, In accordance with the State Sanitary Code, before any renovations, improvements, or equipment changes are made, all plans for such must be submitted to and approved by the Salem Board of Health. HEALTH AGENT Dec 02 04 01131p Joanne Scott Salem BOH S78 745 0343 p• 2 ,.. CITY OF SAI.lzMi MASSAC.HUSETY BOARD OF HEALTH 004 t 1'20 WASHINGTON$Taco.41tm FLOOR BALRM,MA 01970 CITY CF JALEPAI TEL.978.741.1800 BOARD OF HEALTH FAX 976,745.0343- STANLEY J. USOYICZ, JR. JOANNE SCOTT,MPH, RS, CHP MAYOR HEALTH AGENT:, 2005 APPLICATION FOR PERMIT TO OPERATE A'F00D ESTOLISHME.NT NAME OF ESTABLISHMENT _/1-edpr v/ rRV TEL#9M— ADDRESS M `ADDRESS OF ESTABLISHMENT MAILING ADDRESS(If different) �P _ OWNER'S NAME` i eS 1-�17 apclie-ecl _ TEL tt__, CITY 9 LG' STATES ZIP�&.?_9 - 1�Lr9 f CERTIgED FOOD MANAGER'S NAMES) CERTIFICATE#(s} (required in an establishment wnere potentially hazardous food is prepared.) .S EMERGENCY 13COPONSE PEft90N__52 � P _HOME TEL 9-192d HOURS OF OPERATION: Mon._- <ue Sun._ TYPE(7.F ESTABLISHMENT., y FEF+chcck only RETAIL STCRE YES NO less than,1000sq,ft.._,,, 5,60; 1UGU•1U;U(70aq,.f(.1 .. =$x'00 ` 'inore then 10 000s ft, =$250 RFSTAURANT YFS NO �} , , ,; .' I'ess'th3n 25 seats ='$100 25-99 seats =$150 more than 99 se.il* =$200 . BED/BREAKFA; ' Y[5 NU .. . ., - $ICO ADDITION,'11, PERMIT'S MAKE not just serve) iu f,;RLAM, YUGUK I,SOFT SERVE YF.S NO $5 TOBACCO VENDOR YES NO $50 ALL NON-PROFfY(such as church kitchens) Y6S NO p $ ' PASTEURIZATION PERMITES NO _ $1 lease pay total with one c eck payable to the City Of Salem This Pormlt Is not transferable and must be reissued upon change of ownership The Permit must be posted in a prominent location in the Establishment. In accordanoo with the State Sanitary Code,bcfoie any renuvations, improverrunts,or equipment changes are made,all plans for such must be submitted to and approved by the Salem Board Ot Health. 15u9unul a , . `Iwplui 6P(;, 'W tltn, 19A, I r:uihty mO,-1 Int;pilins, Mid piai;dhaa 0 pciluiy (IMI 1, lu Illy bu .t �lh ll: lit !N:'et. ' . 1100 III g!alC t,:x :tUi: 5:nuf pall i'},'love .iuptatw .-' t)�dtt Stn:rt� Stx.tu P�y aT I eJut.sl Idanuhraniurz N11111 101 Jlr,r:.«i ''VO.til; ., , ddm Citi•,t,n t:uaF. �ya y -�-o y �/ „ 7 � l/p 112 CITY OF SALEM BOARD OF HEALTH Establishment Name: 1 , 1 P l) S' I/�A 1 V�l Date: 1 "�C� 05 page: of Item Code C—Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION Date No. Reference R—Red Item Verified PLEASE PRINT CLEARLY �hP vu)ina i1wite- -n6+-d. J 41,cu2Pa2 Chun./ Pvleo �.Shoave-d -�'1'la�h rhz &6-7L /n v'q�e_p Q ��v� dao_ u� h/, ah L)AI& a/)Vy) - //hof /ca_ �.WltJ'n' "9 r�� an 1 cSan,'Ai?e_Q randl-o R a0-0 "/ ho i '5qee?m Na W Ail eno 5n 11 �pjlp S-Wh C f ma Orl-I /ns�ectral-� _ 1 Discussion With Person in Charge: Corrective Action Required: I ❑ No I ❑ Yes I have read this report, have had the opportunity to ask questions and agree to correct all o Voluntary Compliance ❑ Employee Restriction Exclusion violations before the next inspection, to observe all conditions as described, and to ❑ Re-inspection Scheduled ❑ Emergency Suspension comply with all mandates of the Mass/Federal Food Code. I understand that noncompliance may result in daily fines of twenty-five dollars or suspension/revocation of ❑ Embargo ❑ Emergency Closure your food permit. 0 Voluntary Disposal ❑ Other: 3-501.14!!") PHFs Received In"Femperautes Violations Related to Foodborne illness Interventions and Risk Accordi.^.g to taw Cr-,led to Factors(items 1.22) (Cont.) 4F F/45=F Within 4 Hours. ' PROTECTION FROM CHEMICALS 3-5G 1.15 Coolin.-Method,for PH F= 14 Food or Color Additives ( 19 11 Hot and Cold Holding 3-.501.WB) Crdd PIIFs,Mautta,ned or below 3-'_02.12 Additives590.004(F) 41-45' F,. 3-302.14 Protection from Unapproved Additives* 3-501.16(A) Hut PHFs Maint.aned at or above 15 Poisonous or Toxic Substances 140'F F 7-101.11 Identifying Information-Original I 3-501,16(A) Roasts Held at or above 130'F. " Containers^ � 7-102,11 Common Name-Wurkint Contain20 Time as a Public Health Controlers" l 3 501-19 Tom-ar a Public Health Control" 7-201.1! Separation- res Storage- 590.001;F1) variance Ro wrcmcnt 7-202 I; Restriction-PPresence wind Use e � 4 17-202.12 _ Conditions of Use- 7-203,11 Toxic Containetr-Ptohibitions* REQUIREMENTS FOR HIGHLY SUSCEPTIBLE 7-204.11 Sanitizets.Crirena-Chemicals* POPULATIONS(HSP) 7-'_03.12 Chemicals for Washing Produce.Criteria" ( 21 3-801 11(A) Unpasteunzcd Prc-nachaeed Suiten and Bevet:ieec w+dt Warning I,abzis': 7-204.14 Drying Agents,Criteria's ?-801.11(R) Uic of Pasteurized Lpes" 7-205.11 Incidental Food Contact.Lubneia s 3.501.11(D) Raw or Paaially Cooked Animal Fool and 7-'_06.11 Res+rieted Use Pesticides.Criterria* Raw Seed Sprouts Net Se)ved. ,x 7 206.12 Rodent Ban Stations" � 3-S01.11(C) Unopened Food Paduww Not Re-serf-ed. 7-106.13 Tracking Powders, Pest Control and Monitoring* CONSUMER ADVISORY TIME(TEMPERATURE CONTROLS 22 3-603 i 1 Concnmel Adr:,ory Pus;ed for Consumption of 16 Proper Cooking Temperatures for I Animal Four:,`:'bat ate Raw,Undercuukrd ur PHFs Not Otherwise Processed to Eliminate PgthOP,,tns.* 8"" r'"" 3-401.1]A(I)Q) Eggs- 15 i"F 15 Sec. Eggs-hnmtediate Service 145'P15sec" 3-302.13 Pasteurized Eggs Substitute fol Raw Shell 3-401.11(A)(2) Comminuted Fish,Mcats&Ganie I Ee"s* Animals- 155'F 15 sec. * , 3-401.1 l(B)11)(2) Porl, and Beef Roast- 130'F 121 min* I SPECIAL REQUIREMENTS 3-401.11(Al(2) Ratner; Injected Meats- 155"F IS 5900(r)(A)-(D) Violations of Section 590.009t,A)-(D) in see. ( catering, nnu,de food, temporary a id 3-401.11(A)(3) Poultry,Wild Game, Stutfed PHFs, residential kitchen operations should be Siufl'ing Containing Fish, Meal, debited under lite appropriate sections Poultry or Ratites-165'F 15 set. * above ill e.,wed to foc,dbornz illness 3-401A 1(C)(3) whole-muscle,Intact Beef Siettks Interventions and rick factors. Other 145°F 4 590.009 violations relating +o good i etail 3-401.12 Raw-Animal Foods Conked in a practicoc should be debited under!l2.9- Microwave 165^F* Special Reque;ements. ,-:401.1 I(A)(1)(b) All Other PHFs-- 145'F 15 see. 17 Reheating for Hot Holding ( VIOLATIONS RdLATEO TO GOOD RETAIL PRACTICES 3-403.11(A)&(D) PHFs 165"F 15 sec. " ( (Iterns 23-30) i-403.11(B) Microwave- 165'F 2 Houde Standing Critical aa,'tun-(r(riard violations, w/r;ch no not rehae to lite Tinn:rtoor/horre illness inte)vennons and ILA Irrrtur:c liWed ab'we, rax be 3-403.11(C) Commercially Processed RTE Food- ,found in aHr fol(m„tire seelions of tkc Food Code and 105 C'bIR 440'F' .500.000. 3-403.11(E) Remaining G'nsliced Portions of Beef item Good Retail Practices FC ! 590.000 I Roasts* 23. Management and Personne' FC-2 .003 18 Proper Cooling of PHFs I 1 24 Fox!and Food Prxect!on FC--3 004 o. Equipment and Jtereils F C-4 _ 005__ J 3-501 14(1) Cooling Cooked PH1's from Ido"F to 5' ( � NJater.P:urnbinq and\N rite FC-g .006 70'1-Within 2 Hours and From 70'F 27. Physical Faclsty FG-6 1 007 to 41'F/45'F Within 4 Hours. " 28. Poisonous or Toxic Materials FC -7 008 i 3-501.14(8) Cooling PHFs Made From Ambient 1 29. Special Reutnrements 009 Tempetature Ingredients to 41°F/45'F 30. Other i Within 4llours,x Dcnoi.v crin(al aim In t!ie m-icral 1999 hxd Cude or I05 C'MR 590 do(,. + it CITY OF SALEM , BOARD OF HEALTH E, Establishment Name. �"i t �-P 0 � b(D 0U Date: I "/c� �a5 Page: / of � Item Code C-Critical Item DESCRIPTION OF VIOLATION/PLAN OF CORRECTION Date f No. Reference R—Red Item Verified PLEASE PRINT CLEARLY /' !- L /� l�rdaeieS �n� /r�� e�Sol%i >rras �ndv��P�. I _7�ho 4� i/a/-1)Illy /10 Ap- �i��n-Piz Chu�l� l�vl�o S1v�u�rl ln �OPr-7 le /('A 9 o_ I ^0 Allah '0/ate r.I)Zjrt /.�h/ j(� ('yam /uas r�,4�sfed m t I cSan,�i�-rQ �lnd/oR baa "!' hof ��rn�R is aid � i II No (r�n�nfiorrs b PPP S,0_0dt Gf 41nU 04 IASWOcfiah � I I Discussion With Person in Charge: Corrective Action Required: I ❑ No I ❑ Yes i have read this report, have had the opportunity to ask questions and agree to correct all ❑ Voluntary Compliance ❑ Employee Restriction/ Exclusion violations before the next inspection, to observe all conditions as described, and to ❑ Re-inspection Scheduled ❑ Emergency Suspension comply with all mandates of the Mass/Federal Food Code. I understand that noncompliance may result in daily fines of twenty-five dollars or suspension/revocation of ❑ Embargo ❑ Emergency Closure your food permit. ❑ Voluntary Disposal ❑ Other: j -'-50:.;"C, PHF;I:eceived at Temperatures Violations Related to Foodborne Illness interventions and Risk .>ionding to f.mu Corded to Factors(!terns 1-22) (Cont) 41 T,145'F Within 4 Homs.. PROTECTION FROM CHEMICALS '.YCILIS C'o0fingMethods hot PHFs 114 Food or Color Additives ( 19 PHF;Iot and Cold 14o;ding 1 3-50!.i6f B7 Coln P1 11"s Maintained at or below 3-202.12 AdditiNes* 590.00VF) 4•`;45'F' 3-30" lw t':otecnon tram H114,pnn-ed AddiLkes' ( ;-501ANAt Hut PtiP:, riainta:ued at or above 15 Poisonous or Toxic Substances ( - 140'F7-101.11 ldentifyvtg Intornatoon-Onginal ' -N)1,16(ARoosts held at or obn�e 130'1•. j '7-102.1: Common Natne-Working Container,* I 2'tt Tnl-,e as a Public Health Contra) 7-201.1, Separation-Storxgu' 3-501.!9 Time as a Fublic Heaid,Control* 7-202 11 Reatrictinn-Presence and L1se7> 590.00+ff? V.nriance Requirement 7-202.12 Condoions of Use, I 2.03.11 Toxic C'onudncrr - Pruhirilions" REQUIREMENTS FOR HIGHLY SUSCEPTIBLE 72(:411 Sanitizen,Criteria-Chemicals POPu'-ATIONS(HSP;, , 121 3-bUl.l!(A) Unp;wcn:,.ed Pre-packaged Juice-,and 7-20A.12 � C:hemirils for W:.rshvi_c Produce,Crit,riar' ! ftever', es with Warninfl 1.aheis° 7-20414 Mymg Aeents.Criteria'' j 1 3-80:.11iB) Usee Pa%tanized 7-205.11 Incidental Food C otaact.Lubricants^ Eccs` 3-80i.iLDl 3:aw or?artialiy Looted Aninud Food, and ! ( 7-206.11 Restricted Use Pesticidrs C'ri[ena" � i 7-206.12Rodent Bait Stations" Raw Seed Sprouts Not Saned. " Unopened Foo" Package Not Re-served. 7 206.13 Tracking Powders,Pest Control and ( 3-Kttl.l liC: 1lonitoring^ CONSUMER ADVISORY 22 3-603 11 Ct nsuaici:advisory Po,ted fcs Consumpuon of rFMEITEMPERATURE CONTROLS Anim,:l Foods Shat arc Raw.U,.delcooked or 16 Proper Cooking Temperatures for Not Cltherwis; P-ocessed to Flu-ninste PHFS 3-40 L 1 IA(I n(2) Eggs- 155:F 15 Ser.. Pathogens.' t,o.s-hrvuediay.Sen�icc 145`F75sce* I 3 30211 Pasteurm.i Erg,Substitute to, R:tw Shelf 3-401.11(A)(2) Commuurted Fish. Mean;lY Game Eggs- Animals- 155`F 15 sec. =r 3-461.11(8)(1)(2) Pork and Br,-F Roast- 1301,' 121 min' I SPECIAL REOU€REMENTS ?-401.11(A)(2) Ratites, In;ected Nleut, - 155'F15 I 59U 009(At-(D) Violativos of Section 590.009(A)-(I))in sec. LL catering. mohile food,tejr.o 1rary.:nd 1 3-401.11(A)(3) Poultry, Wild Game,Stuffed PHFS, I residential kitchen operations should be Slatting Containing Fish, Pleat, deblied under the approprrlte sections Poultry or R:uitcs-165'F IS sec. ' above if related to foodborne illness 3-101.11((,)(3? l`wrol?-riln}Cle,Intact B,.,f SF:aks illterveotiens and nsh factors. Othcr 1450P S90.C•09 violations relating to good retaii 3-10!.i 2 Raw Animal Foods Cooked in a ipractJct'c ;Mould he debited under#29- Microwa„e 165"F* Spec)al Requirements. 3-401 11(A)(1)(h) All Critic; PHFS 145F 15 sec 17 Reheating for Hot Holding ( VIOLATIONS ROLA TF'U TO GO00 RETAIL PRACTICES 3-401 11(Ai&(D) PHFS 165`F 15 sec. ( (Items 23-30) ,-403.11(B) Microwave- 165' F 2 Mimie Standing Criucul and non-,tiirrul v&dativio, which do not r elate to'lr Time' fn»,!borne illness nrreiventiar.i ctrl rickjactnrr. listed abore, run be 3-403.1 i(C) Commercially Processed RTE Food- .forma in tite',t/,,,,in,: terrinna of•L::F',od C'nd�avid iU5 CIIR 14WF'' .5r10.00(k ! 3-403.!1(F) Rruuuning Unsliced Pori inns of Ree( Item Goad Retail Practices FC 590.000 ::oasts" i_23. Mana(lement and Personnel FC-2 .003 24. Fox arra Food-�otechcn FC-3 .004 gR Proper Coating of PHFS I 28. Equ:pm.^nit and Utensils FC--^- .005 Cooling Cooked PHFS from 14' `F to 26. Water,Piumbm9 and irti•aste -3 .00B--_-� 701-Within 2 Hours and From 70"F 27. Physical Fa(;0441 FC-g 007 to 41°Fl45''F Within 4 Hours. '" j 28. Posorous er Tone Material FC - 7 .008 j 3-50114(3) Cooling,PHFS Made Frooi Ambient 23. Special Requ:renicnts .001)Temperature Ingredients!o d 1'r/45 F 30. Othe. ----) yVitliin 4 Hours" sI-t4.i e.z a„ 4 Denote:inucai num in ihr Rtes! I„99 Food Code or 116 CbIR 590 000 _ 01/10/2005 16:37 6174720706 G AND L LABS PAGE 03 G & L Laboratories ♦ Water Analysis 4• food/Seafood Analysis 4 Metals/Chemical Analysis + Microbiological Testing 33 Newport Avenue, Quincy MA 02171 Tet (617) 328.3663 Fax: {6)7) 472-0706 "PORT December 14,2004 Lab.I.D.#31828 Attn: Mr.Chuck Puleo Puleo's Dairy 376 Highland Ave. Salem,MA 01470 Sample Received Date/Time: 12/4/04,3:20 PM Sample Received Temperature:-3.0*C Sample Analysis Date/Time: 12/10/04, 11.00 AM Sample Identification:Two(2)frozen dessert samples labeled: 1. Vanilla 2. Cappocipo TEST METHOD: A.P.H.A. STANDARD METHOD TEST RESULTS: SA PLE# TOTAL C041FORM/e STANDARD PLATE COUNT/t• @ 32-C @ 32-C 1 450*ETc II0,000*ESPC 2 S 620 Bacteriological Standard for 50 $0,000 Frozen Desserts LABORATORY OUALITY CONTROLS: All samples were found to be properly cooled upon receipt. All analyses were performed within A.P.H.A designated holding-times. Pipet,dilution water,agar,air density at the plating are negative.Agar temperature at the plating is 44.0°C. CC:Salem Board of Health G& L Labs, Inc. i , Diana Liu Laboratory Director Page I of I G & L Laboratories + Water Analysis + Food/Seafood Analysis + Metals/Chemical Analysis + Microbiological Testing 33 Newport Avenue, Quincy, MA 02171 Tel: (617) 328-3663 Fax: (617) 472-0706 REPORT January 4,2005 Lab.I.D.#31907R Attn: Mr. Chuck Puleo Puleo's Dairy 376 Highland Ave. Salem, MA 01970 Sample Received Datefrime: 12/21/04, 5:05 PM Sample Received Temperature: Frozen Sample Analysis Date/Time: 12/21/04, 5:35 PM Sample Identification: One(1)frozen dessert sample labeled: 1. Coffee TEST METHOD: A.P.H.A. STANDARD METHOD TEST RESULTS: SAMPLE# TOTAL COLIFORM/O. STANDARD PLATE COUNT/g @ 32°C @ 32°C 1 < 1 35,000 Bacteriological Standard for 50 50,000 Frozen Desserts LABORATORY OUALITY CONTROLS: All samples were found to be properly cooled upon receipt.All analyses were performed within A.P.H.A designated holding-times. Pipet, dilution water,agar, air density at the plating are negative. Agar temperature at the plating is 44.0°C. CC: Salem Board of Healtb G & L Labs, Inc. j[,a 4 lomt rW- Diana Liu Laboratory Director Page 1 of 1 4 Water Analysis f Food/Seafood Analysis ♦ Metals/Chemical Analysis ♦ Microbiological iesung ff Invoice PAGE I G&'L Laboratories 33 Newport Avenue Quincy, MA 02171 Invoicb No. Invoice Date 100031907 101/04/05 (617)328-3663 FX:(617)472-0706 Sold Ship To: Puleo's Dairy To: Puleo's Dairy Attn: Mr. Chuck Puleo Attn: Mr. Chuck Puleo 376 Highland Ave. 376 Highland Ave. Salem, MA 01970 Salem,MA 01970 PuNcerchaase Order Date Ordered Date Shipped i Ship Via F.0.13 - 12/21/04 - Fdi/04/05 Salesperson _I Terms 02/0 _ /Ont Due Notes Net 30 Item Ordered Shipped Description Price Amount 'D25 - - — - _- I I Frozen Dessert Tests 25.00 25.00 I Message SubTotal Sales Tax We Appreciate Your Business Shipping f TOTAL 25.00 01/10/2005 16:37 6174720706 G AND L LABS PAGE 02 - G & L Laboratories + water Analysis + Food/seafood Analysis + Metals/Chemical Analysis + Microbiological Testing 33 Newport Avenue, Quincy, MA 02171 Tel: (617) 328-3663 Fax: (617) 472-0706 REPORT January 4,2005 Lab.1.0.#319078 Ann: Mr.Chuck Puleo Puleo's Dairy 376 Highland Ave. Salem,MA 01970 Sample Received DateJTime: 12/21/04, 5:05 PM Sample Received Temperature:Frozen Sample Analysis Datefrime: 12/21/04,5:35 PM Sample Identification:One(1)frozen dessert sample labeled: 1. Coffee TEST METHOD:A.P.H.A.STANDARD METHOD TEST RESULTS: SAMPLE# TOTAL COLIFORM/P STANDARD PLLATE COUNT/o @ 326C @ 32°C I < 1 35,000 Bacteriological Standard for 50 50,000 Frozen Desserts LABORATORY OUALITY CONTROLS: All samples were found to be properly cooled upon receipt.All analyses were performed within A.P.H.A designated bolding-times.Pipet,dilution water,agar,air density at the plating are negative.Agar temperature at the plating is 44.0'p. CC:Salem Board of Health G &L Labs,Inc. C� aaa. Diana Liu Laboratory Director Page I of I Y - 1 L�dSi5iSS5?S2'.2!2n'Y>AAAAAA"�^ m.�6liaeimou,ie m�,m,�e�Fu��1rt��uum,muii iLieilni4md JiSelimduoi�i,i„�,I - ,n: i h ---C 0 0 I 01/10/2005 16:37 6174720706 6 AND L LASS PAGE 01 m & L 1 s LabOTato IC_ ♦ \i nH'i ,tnah +� f 1:041LINcal.n¢! .in.d+'•i. • \drlel•/l hrm:,.11 "null+i, ♦ i}q rnNu+Inlpca• ic•nnt; It Nr„irr,rl :\+cnuc, tttnur,: \Lt 0117t Irl tt,I71 124th11 i ;,v t6171 472-0706 . FACSIMILE TRANSMITTAL SHEET To Date Company. 5a-Lu-n (Z(-,,H Te.F. Fate Gl i l� O Zt I From I%? [ab. Reports !;! Quotation I i For Review i,,; Reply ASAP f I 011ier Remarks; NUMBER OF PAGES _. {N4i1' INCLUDING THIS ONE) I 02/04/2005 11:53 6174720706 G AND L LABS PAGE 02 r ... G & L LaboratorleTs ♦ Water Analysis ♦ food/Seafood Analysis ♦ Metals/ChemicalAnalysts +-Microbiological Testing 33 Newport Avenue, Quincy, MA 02171 Tel: (617) 328.3663 Fax. (617) 472.0706 REPORT January 26, 2005 Lab. L D.N 32000 Ann: Mr. Chuck Pul£o Puleds Dairy 376 Highland Ave. 19t'W# V Fee 9 2005 //Salem, MA 01970 54n Sample Received Date/Time: U12/05, 1'45 PM !(//ll Sample Received Temperature: -7.1°C CITY V Sample Analysis DaterFime: 1/12105,330 PM B OF Sample Identification: Two(2)frozen dessert samples labeled: OARD OF SALEM I. Vanilla H 2. Black Raspberry TEST METHOD: A.P.II.A. STANDARD METHOD TEST RESULTS: SAMPLE# TOTAL COLIFORM/e STANDARD PLATE COUNT/n (132-C (, 32°C 1 < 1 12,000 2 < 1 290 Bacteriological Standard for 50 50,000 Frozen Desserts LABORATORY OUALITY CONTROLS: All samples were found to be properly cooled upon receipt. All analyses were performed within A P.H.A designated holding-times. Pipet,dilution water,agar, air density at the plating are negative, Agar temperature at ihC plating is 44.0°C. CC: Salem Board of Health G & L Labs. Inc. a,11� Diana Liu laboratory Dirccl0r Page I of I 02/04/2005 11:53 6174720706 G AND L LABS PAGE 01 • M G & L Laboratories ♦ \FJlci .\n,rlY.�. ♦ F'Urgir}rnlpptl \n.1v.i. ♦ \lei.rl,.,q lit m:rdl 1n.iM.r. ♦ \hrirhinliry tit_rl ft••nn� i{ %cmpru At rnuc, puma. VA 1)!171 111 ",1 ;' 1�8.IN13 I"a\ X01-0 47 1-070r, FACSIMILE TRANSMITTAL SHEET YB' T•ro P. n Pate: -CA11Wrv�- — Company 'Stst 117 w +i Tei: FaxFrom Vain.., d/Lob Reports Quotation For Review t i Reply ASAP I.; Other Remarks. y\Ll NUMBER OP PAGES:_.J—__(NOT INCLUDING THIS ONE) CITY OF SALEM9 MASSACHUSETTS BOARD OF HEALTH • _ y • 120 WASHINGTON STREET, 4TH FLOOR SALEM, MA 01970 TEL. 978-741-1800 FAX 978-745-0343 STANLEY J. LISOVICZ, JR. JOANNE SCOTT, MPH, RS, CHO MAYOR HEALTH AGENT COMMONWEALTH OF MASSACHUSETTS PERMIT TO OPERATE A FOOD ESTABLISHMENT In accordance with regulations promulgated under authority of Chapter 94, Section 305A and Chapter III, Section 5 of the General Laws, to operate a Food Establishment in the City of Salem is hereby granted to: Type of Establishment: DAIRY Name of Establishment: Puleo's Dairy Address of Establishment: 376 Highland Avenue Owner's Name: Charles M. Puleo Restrictions: Application Date: 1/21/2004 PASTEURIZATION PERMIT 001-04 Permit for Food Establishment Frozen Desserts/Ice Cream Permit for the Sale of Tobacco Products These Permits Expire December 31, 2004 This permit is not transferable and must be reissued upon change of ownership or location. The permit must be posted in a prominent location in the Establishment, In accordance with the State Sanitary Code, before any renovations, improvements, or equipment changes are made, all plans for such must be submitted to and approved by the Salem Board of Health. HEALTH AGENT ' qp CITY OF SALEM, MASSACHUSE �1 BOARD OF HEALTH • 120 WASHINGTON STREET, ATH FLOOR JAN 262004 SALEM, MA 01970 TEL. 978-741-1800 FAX 5-0343 CITY OF SALEM STANLEY USOV ICZ, JR. ,JOANNE SCOTT,OTT, MPH, RS, CH0 BOARD OF HEALTH MAYOR HEALTH AGENT 2004 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT NAME OF ESTABLISHMENT f 'L.eOi TEL # ADDRESS OF ESTABLISHMENT MAILING ADDRESS (if different) I eJ OWNER'S NAME l /f� L2 S ,-/-, ;;>t"L r',? TEL# ADDRESS 11 ✓ice STATs= >ls✓1SS Zi" O / S'7G'j CERTIFIED FOOD MANAGER'S NAME(S)C:a,;d//t"'cs i✓l u�ciza CERTIFICATE#(s) /?721;p (required in an establishment where potentially hazardous food is prepared.) EMERGENCY RESPONSE PERSON HOME TEL# i HOURS OF OPERATION: Mon.—Tue.--Wed.—Thu.—Fri.—sat.—Sun,— TYPE on._Tue.—Wed_Thu. Fri._Sat. Sun.TYPE OF ESTABLISHMENT FEE check only RETAIL STORE YES NO less than 1000sq.ft. =$50 1000-10,000sq.1'L =$100 more than I0,000sq.ft. =$250 RESTAURANT YES NO less than 25 seats =$100 25-99 seats =$150 more than 99 seats =$200 BED/BREAKFAST YES NO $100 ADDITIONAL PERMITS MAKE(not just serve) ICE CREAM,YOGURT, SOFT SERVE YES NO $5 TOBACCO VENDOR YES NO $50 ALL-NO,N=PROFIT(such as church kitchens) YES NO $25 PASTEURIZATION PERMIT—') �, �I V� YP cu5f Y y::.tial �J:��l O�h 4 payable to the City of Salem This Permit is not transferable and must be reissued upon change of ownership.The Permit must be posted in a prominent location in the Establishment. In accordance with the State Sanitary Code, before any renovations, improvements, or equipment changes are made,all plans for such must be submitted to and approved by the Salem Board of Health. Pursuant to MGL Chapter 62C, Section 49A, I certify under the pains and penalties of perjury that I,to my best-k—nowledge and belief, have file9 all state fax returns and paid all state taxes required under the law. (/ /. A 71 �G�fj'r'L '•� /'%l�''� el-3 t�( �21. .Signature'` Date Social Security or Federal Identification Number --- --------------------------------------------------- ------------—------ - - -------------- Revised 11/03/03 FOODAP2.adm Check#8 Date /v%r1,w d - /-f j•p ( IMPORTAIN_T MESSAGE ) FOR_.:,.. DATE '7 � TIME M /i1/)L.rs2nLlxl/ OF PHONF AREA CODE NUMBER EXTENSION U FAX U MOEIII F AREA CODE NUMBER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE YOU 'I WILL CALL AGAIN WANTS TO SEE YOU RUSH RETURNED YOUR CALL I� WILL FAX TO YOU MESSAGE_ i v.141p f � tG_lai /LGd4— r SIGNED f l'd I FORM 40O MARE 4 1Yps. IN SA i II CO w F-- 0 z CITY OF SALEM BOARD OF HEALTH / Establishment Name: V J t YlJ S' //Gt A .1 INA— Date: 90�/ Page: of Item Code C-Critical Item J DESCRIPTION OF VIOLATION/PL`AN OF CORRECTION Date No. Reference R—Red Item Verified _ PLEASE PRINT CLEARLY + �%�' l/'P �_ /iJ'yim" rl �,pl�l�2� 17M lfi��n��6�, -re 4 J/4tr)ln� orhe ho-Aij - - - I I - I � - Riper �� /Aci' �l bav il�d /is -9'Y L )lmm/nf } hllfc. 1 )a 0167J-l"c /n J111 /O J-.)P `4P7111 L'1 7 -n/r�I7.vP *7 /?(,( g1/'VPS- "044yk lin acic �urh� Iiii �rn I IAV /u P r - I I 1 W. ,0in7�an ��t_ I I - - j Discussion With Person in Charge: _ Corrective Action Required:- O No I ❑ Yes I have read this report, have had the opportunity to ask questions and agree to correct all ❑ Voluntary Compliance I O Employee Restriction/ Exclusion violations before the next inspection, to observe all conditions as described, and to ❑ Re-inspection Scheduled ❑ Emergency suspension comply with all mandates of the Mass/Federal Food Code. I understand that noncompliance may result in daily fines.of twenty'_five dollars or suspenssion/revocation of ❑ Embargo ❑ Emergency Closure your food permit. ❑ Voluntary Disposal ❑ Other: 3-50:.. ;C't 'r'H}•'s RrcetYed z:'Femperature, Violations Related to Foodborne Illness Interventions and Risk Accorthn_to lair Ccoled to Fagtors(Items 1-22) (Cont.) 4;'"ri45'F Within 4 PROTECTION FRO"d CHEMICALS Su 1,l5 Gwlin. Nlediods fol PHFs la Food or Color Additives 19 PHF Hot and Cold Holding 3-50i.!6W) ColdPHF: R4•un.;amcdatorbelow 3-202.)2 Additives* 590-0i)1(F) 41 '145°p^ 3-302.14 Protection from Uuapprusrod Addiive`r ( 3- ti (il IA(At Hut PI-IFs A4nnnaineci at or above 15 Poisonous or Toxic Substances 740'F. k 7-10 11 Identil}angInformdhon-Chigina( 3.50,,116(A) k9:stsHeirs •,t..rnhove1;0017. 1 Containers 1 26I Time As a Public Health Control 7-102.1 I Common Name--WorkingCmmtiners` ' 3-50!.19 lin:c ac a Public Health Cnnn'vl' 111.11 Separation-Storage"' � 590.00 1 Ht L'anntn:e Reau:scoter! 7-202 it Restriction-- Presence and Um" 7-202.12 Cond; ion;of Use, 7-2(13.11 Toxic Containers-Prohib:tiuns''' REQUIREMENTS FOR HIGHLY SUSCEPTIBLE 7-2(}:,11 Sanitizesr..Ctiteria--Chemic:dls, POPUyATIONS(HSP) 7-203.12 ( Caemieah fns LVashmg Puxlu.e,Criteria" I 121 3_'301.1;(A) Unpa<icurv.ed Pte-packaged Jtaces and 7:204.1.1 ( Drying Agents.Criteria, Beveta,e;,with lt'srnma l aoals* o, ( 1 3-801.i1(B) Use of Pasteurized 1; 11 ( Incid.--mal Food Contact.Lohncant 3-S0I.t I!L+) Raw or Pratislly Cooked Animal Food and j 7-200.11 Restricted Use Pesliudes.Criteria-` � kzw Seed SUtt>ul5 Not Served. " j 7 206.12 Rodent Bait Stations" -801.111 C'J j Unopened Fthxi Pucka^c Not Re-screed. a' ".06.13 'tYaekme Fowler>,Pest Control and Monitoring% CONSUMER ADVISORY 32 3-03.11 Consumer ;advisory Posted for Consumption of TIME/TEMPERATURE CONTROLS An;nral Ftx ls'':'hat a re Raw. tinclercooled or 16 Proper Cooking Temperatures for Not Otherwise Processed to Eliminate PHFs i �nrova xa:oar 3-401.11A(l)(2) Egg 75i`F15Sec. Parhogens.* Eggs-Lmnediale Service 145°F75sec' 3-302.1) Pasteunze_ Fi€;gs Substitute For Ptaw Shell 3-401.11(A)(2) Commllutted Fish, fs'leats&Game Egtss* Animals- 155°F 15 sec * � 3-40111tBy,!)(2) Pork and Beef Roast- t30'F 121 men* SPECIAL REQUIREMENTS _- -401.7 ItAH2) (2.vucs,Injected Mcah-- 755`F 15 590009(A)-(73) Viulanonsof Section 590.0119(A)4G) in sec. catering. mobile rood,temporary and 3-401.1 !(A)(?) Poultry,Wild Game,Stalled PHFs, readenttal kitchen operations should be Stuffing Containing Fish, Meat, debited under die appropriate sections Ptusltrp or Ratites-165°F 15 ser. above if related to fi odhorne iflues 3-401.11(00) Whole-muscle, In ld Beef Steaks ( ttr.erventions and tisk factors. Other 145°F' 590.00)9 violations ;elating to guod retail 3-401.12 Raw Animnd F+,ods Cooked in a practices dlould be debited under 11:29-- Microwave 165`P* ( Spec;al Requirements. 2-401A I(.Ax,l)(b) All Other PHFs-- 145°F 15 sec, I, 17 Reheating for Hot Holding VIOLATIGlVS RELATED PO GOOD RETAIL PRACTICES s 403.11(.A)&(D) PHFs, 165°7'15 sec. (Items 23.301 3-403.i I(B) Microwave- IW,F 2 b9nnne Standing CiiN,;ai and nun-rridcal vFdalrun5, which do not relate rte time Time* fi,udburne illness nnerventions and risk lattois listed above run be 3-4M.11(C) Commercially Prtaeesed RTE Food- .found in the lotion ing sections of the Food Cade and 105 CNIR 140`14" 590.000. 3-103.1 I(F) Renaming Unsliced Portions of Beer I Item Good Retail Practices FC L590.000 Runs!.' 23. Manooemert and Personnel FC-2 003 1g Proper Cooling of PHFs I 24 Food and Fond Protection FC 3 004 - 25. Equipment and UiensilsFC-4 .005 3-n01.14AL 20 WEtet, ?lambing and'✓Vasla _ __ Cooling Cooked PHFs from 140`F to __ --------- 70'F Wilim 2 Flours and From 70'1, 27 Physical FecdRv r --5 .007 to 41 F/4.59-Within 4 Flours. " 1 28 Poisonous.-.r Toxic Matenala FC - 7 .CCS 3-501,14(B) Cooling PHFs Made From Ambient 129 Silocia Remit eo,ents 009 � Teenperatate htgredientsio 41'F/45`1730 Other I � Within 4Ii+,urs'k D-IKAVS cnncal item m iV E:deral 1909 Fund Code nr 015 CNIR 590 000. 12/03/2004 12:58 6174720706 G AND L LABS PAGE 02 Mvww� ,-G & L Laboratories ♦ Water Analysis f Food/Seafood Analysis ♦ Metals/Chemical Analysis f Microbiological Testing 33 Newport Avenue, Quincy, MA 02171 Tel: (611) 328-3663 Fax; (611) 472-0706 REPORT November 15,2004 Lab.1.D.M 31631 Attn: Mt.Chock Puleo Puleo's Dairy 376 Highland Ave. lr'g Salem. MA 01970 Sample Received Date/Time: 11110104,4:20 PM DEC _ 3 2004 Sample Received Temperature:-2J°C Sample Analysis Daterrime: 11/11/04, 1:00 PM CiN OF SALEM Sample Identification: Two(2)frozen dessert samples labeled: BOARp OF HEALTH 1. Vanilla Ice Cream 2. Cappocino Ice Cream TEST METHOD: A.P.H.A.STANDARD METHOD TEST RESULTS: SAMPLE>K TOTAL COLIFORM/e STANDARD PLATE COUNT/q. @ 32-C @ 32-C 1 < 1 5,500 2 < 1 <250 Bacteriological Standard for 50 50,000 Frozen Desserts LABORATORY OUALITY CONTROLS: All samples were found to be properly cooled upon receipt. All analyses were performed within A.P,H.A designated holding-times. Pipet,dilution water,agar,air density at the plating are negative. Agar temperature at the plating is 44.0°C. CC:Salem Board of Health G &L Labs,Inc. 1 r. . Diana Liu Laboratory Director Page I of 1 10/15/2004 15:35 6174720706 G AND L LABS PAGE 02 MwG & L Laboratories f Watet Analysis ♦ Food/Seafood Analysis f Metals/Chemical Analysis f Microbiological Testing 33 Newport,Avenue, Quincy,_MA 02171 Tel. (617) 328-3663 Fax: (617) 472.0706 REPORT October 5,2004 Lab,1.D,H 312SOR Ann: Mr, Chuck Puleo Pulces Dairy 376 Highland Ave. Salem,MA 01$70 Sample Received Date/Time!9128/04, 5:20 PM Sample Analysis Date/Time:9/30/04,3:00 PM Sample Identification:Two(2)icc crcam samples labeled: 1. Coffee tee Cream 2. Vanilla ice Cream TEST METHOD, A.P.H.A. STANDARD MET140D TEST RESULTS: SAMPLE TOTAL COLIFORM/r STANDARD?�ATE COUNTJg @ 32°C @ 32-C I < I <250 2 < I <250 Bacteriological Standard for 20 50,000 Frozen Desserts LABORATORY QUALITY CONTROLS: All samples were found to be properly cooled upor receipt. All analyses were perfomied within A.P.H.A designated holding-times. Pipet, dilution water,agar,air density at the plating are negative.Agar temperature at the plating is 44.0°C. CC:Salem Board of Health G & L Labs, Inc. Diana Liu. Laboratory Director rage IofI 09!10(28@4 16:50 6174720706 G AND L LABS PAGE 01 PJL etz s G & L �.._. Laboratotiqs • Water Analysis ♦ Pood/Sealnnd. Attalyst5 + MetalVChcmwal Analysis + Microbiological T sting 33 Newpoit Avenue, Quincy,MA 62171 Tel: (617) 328-3663 Fax: (617) 472-0796 FACSIMILE TRANSMITTAL SHZ17T To: Ms. Joanne Scott Date: Company: Salcm Board of Health Tell 978-741-1800 or Fax: 978-745-0143. E.Mailr jscottnsalem,com' 978-479-9911 (Cell) From 0 Raw Bata 4-6o Report-c 0 For Reytew .0 Reply ASAP 0 other Remarks: L, 01111 to follow for water samplea`r't'eewed't16 1i g 13 2004 V S i CITY CCF HEALTH F SALEM $PARD NI!Mlj(,R (')p PA0l-'S:., t— _ (NOT INCLI)r)ING TI nS ONI ) B9/10/2004 16:50 5174720706 G AND L LABS PAGE 02 r r t ^ G & L Laborato-r9:�s ♦ Water Analysis ♦ Foodtscafood Analy>ir MetawChemical, ,analysis ♦ Microbiological Teling 33 Newport. Avcnuc, Quincy. MA 62171 TO: (617) 328-3663 Fax (617) 472-0706 REPORT Lab. 1. D.#30966}1 ca � 19 Attn: Mr.Chuck Puleo VV SEP 13 2004 Pulco's Dairy 376llighiand Ave. Salem, MA Q1970 CITY OF SALEM BOARD OF HEALTH Sample Received Date/Timc-- R/27/04, 5:50 I'M Sample Receives}Temperature: •4.3"C Sample Analysis DatetTime: 8128/04, 2:30 PM Sample Identification: Two(2) ice cream samples lal:led. 1. Vanilla.Ice Cream ( Collected Date: 8/27/04 ) 2. Chocolate Ice Cream( Collected Date: 8/27104) 'TEST METHOD: A.P.H.A. STANDARD METHOD 'PEST RESULTg: SAMPLE TOTAL CQLIFORMA, STANDARD PLATE CO1JN'I`/2 (ID 32"C ( 3fC I < I <250 2 < 1 1.900 Bacteriological Standard for 20 50.000 Frozen Desserts LABORATORY OUALITY CONTROLS: All samples were found to be properly cooled upon receipt. All analyses were performed within A.P.H.P designated holding-times.Pipet,dilution water,agar,air density at the plating are negative. Agar ternperatulk,at.the plating is 44.0°C. CC: Salem hoard of Health G & L Labs'. Inc, Diana t.,iu Laboratory Director !''set 1 or I 08/23/2004 16:45 6174720706 G AND L LABS PAGE 01 i s Laboratories ♦ Water Analysis + Food/Scafood Analysis • MetalVChetnical Analysis ♦ Microbiological Tc:-ing 33 Newport Avenue. Quincy, MA 02171 Tel (617) '328-3663 Fm (617) 472-0706 FACSIMILE TRANSMITTAL SHEET To: Ms. Joanne Scott late: —__— Company: Salem Board of Health Tel- 978-741-1800 or . Fax: 978-745-03.43 F.Mail: jseottAsalem.eom 978-479-9911 (Cell) From: Li Raw tats t5I.ab Report-a 15 For Review D Reply ASAP - 0 Other Remarks: L i+rt to follow for water samples?�n AUG 2 4 2004 CITY OF SALEM BOARD OF HEALTH NUMBER OF PAGES: � (NU'r INCLtfr)lNG 'I IILS ON1;1 08/23/2004 16:45 6174720706 G AND L LABS PAGE 02 � G & L +� Laboratories ♦ Water Analysts ♦ Fond/Scafuod Analysts ♦ Mcrak/Chcmical Analysis + Microbiological Tc- ing 13 Newport Avennc, Quincy, MA 02171 Tel: ;1511) 128.3663 Fax (617) 472-0706 REPORT July 26, 2004 Lab. LD.#3031A Attn: Mr.Chuck Puleo Puleo's Dairy AUG 2 4 376 Highland Avg. 2��4 Salem, MA 01970 Oily L; , _ "L_ _Ili• Sample Received Date/Time: 7/17/104,3:05 PM BOARD Sample Received Temperature: -3.0°C ' Sample Analysis Daterrime: 7/22/04,2:00 PM Sample lidentifrcation: Two(2) frozen dessert samples labeled: I) Vanilla(Collected Date/Time: 7/17/04, 3:05 PM) 2) Coffee(Collected Datelrimc: 7/17/04,3:05 PM) TEST METHOD: A.P.H.A. STANDARD METHOD TKST RESULTS: SAMPLE TOTAL COLIFORM/e STANDARD PLATE COUNT/, @ 32°C r, 32°C I < 1 560 2 < 1 12.000 Bacteriological Standard for 50 50,090 Frozen Desserts LABORATORY OUALITY CONTROLS: All samples were found to be properly cooled upon receipt. All analyses were performed within ATA i A designated holding-times. Pipet,dilution water,agar, air density at the plating arc negative. Agar lemperw ore at the plating is 44.0"C. CC:Salem Board of Health G &. I.. Labs. Inc. Diana Liu Laboratory Director Page I of I 12/02/2004 17:47 6174720706 G AND L LABS PAGE 02 - G & L Laboratories + Water Analysis + Foodf5eafood Analysts + Metals/Chemical Analysis + Microbiological Testing 33 Newport Avenue, Quincy, MA 02171, Tel: (617) 328.3663 Fax: (617) 472-0706 REPORT �� October 19, 2004 11 Lab, 1.D. 31428 O �1 1 7 �tAp 0 Attn:Mr.Chuck Puleo P ittfjj! Puleo's Dairy DEC — 2 2004 376 Highland Ave_ Salem,MA 01970 CITY OF SALEM Sample Received Date/Time: 10/14/04,2:25 PM BOARD OF HEALTH Sampic Received Temperature:4.7°C Sample Analysis Date/Time: 10115104, 11:00 AM Sample identification:Two(2)frozen dessert samples labeled: 1. Vanilla(Collected Date: 10/14/04) 2. Chocolate(Collected Date: 10/14104) TEST METHOD: A P.H.A. STANDARD METHOD TEST RESULTS: SAMPLE TOTAL COLIFORM/g STANDARD PLATE COUNTIg @ 32°C @ 32°C 1 < 1 <250 2 < 1 25,000 Bacteriological Standard for s4 504000 Frozen Desserts LABORATORY QUALITY CONTROLS: All samples were found to be properly cooled upon receipt. All analyses were performed within A.P.H.A designated holding-times. Pipet,dilution water, agar,air density at the plating are negative. Agar temperature at the plating is 44.CPC, CC: Salem Board or Health G & G Labs,Inc. Diana Liu Laboratory Director Page i of t r The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Division of Food and Drugs 305 South Street, Jamaica Plain, MA 02130-3597 MITT ROMNEY (617) 983-6700 (817) 983-6770 - Fax GOVERNOR KERRYEY Y r= U GOVERNOR GOVERNOR lu+. Jj u RONALD PRESTON SECRETARY SEP CHRISTINE C.FERGUSON SEP 3 0 2004 COMMISSIONER CITY OF SALEM Charles Puleo BOARD OF HEALTH September 28, 2004 Puleo's Dairy 376 Highland Ave. Salem,MA 01970 Dear Mr.Puleo: On September 20, 2004 milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 1999 Recommendations (PMO) is three hundred thousand (300,000)colonies per cubic centimeter, (100,000 for individual producer milk). For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole,Lowfat& Skim Milk 20,000 10 Flavored Whole,Lowfat&Skim Milk 20,000 10 Cream,Half&Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results,please call the Dairy Plant Inspection Unit at(617)983-6751. Sincerely, 01,A7 ,71 YV-Vl Ellen A.Fitzgibbon Supervisor Food and Drug Inspector cc: Salem Board of Health Dairy Plant Inspection Unit S:\Bureau\Fpp\Dairy\SAMPLETR\DySmplLtr.doc MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Pule, Salem, MA Inspector: Everett I. C. Zip: _01970 Phone: 978-744-6455 I Time In: 9:00 AM Time Out: 9:40 AM Received in Lab by: JAMS Date: 9/20/04 Time: Recd Temp. Control: Raw: NA. Date Tested: 9/20/04 Time Tested: Temp.Control at Testing: Raw: NA DATE REPORTED: ANALYST(S): JAMS _ REVIEWED BY: luct Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Collected Sample# Type Type Temp. or other Sample# or gram or gram 9/20/04 XXX Raw Milk 4 oz.Vial °F Tank Not Available 9/20/04 XXX Homo Half Gallon Plastic 35°F 2-Oct xxx xxx xxx xxx 9/20/04 XXX Sweet Water 4 oz.Vial 35°F Tank xxx xxx xxx xxx 9/20/04 EG- Raw Milk 4 oz.Vial °F Tank Not Available 9/20/04 EG-526 Homo Pint Plastic 35°F 2-Oct 04D-01203 <t ECC <250 ESPC NF 9/20/04 EG-527 Skim Quart Glass 35°F 2-Oct 04D-01204 <1 ECC <250 ESPC NF 9/20/04 EG-528 Chocolate Quart Plastic 35°F 25-Sep 04D-01205 <1 ECC >570,000 ESPC* NF 9/20/04 EG-529 Light Cream Half Gallon Plastic 35°F 2-Oct 04D-01206 <1 ECC <250 ESPC NF 9/20/04 EG- Glass Bottle N/A N/A Not Available 9/20/04 EG-530 Sweet Water 4 oz.Vial 35°F Tank 04D-01207 <1/100 ML NA NA Individual Producer XXX=Temp. Control "=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Es.imated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR= 01 SEP 3 01!200(4 CITY OF SALEM BOARD OF HEALTH j 87/19/2004 09:54 5174720786 � 6 AND L LABS �� PAGE 01 G & L JUL 19 2004 + Laboratories CITY OF SALEM + Water Analysis + Food/Seafood Analysis Mctals/Chemical Analysis +5QM9"QF-A1 j+sWH 33 Newport Avenue, Quincy, MA 02171 Tcl. {617) 328-3663 Fax: (617) 472-0706 FACSIMILE TRANSMITTAL SHEET To: Ms. Joanne Scott Date: 9- Company: Salem Board of Health Teti 978-741-1800 or Fax: 978-74$-0343' F.Mail: iscottq-salem.com 974-479-9911 (Cell) From: —._640 �-'..L17 0 Raw Data Lab Reports i:1 For Review 13 Reply ASAP 1 Other �Remarks: I'tFr tett to follow for water samplesi ' 1 NUMBER OF I"Af,�GS:_, �____„(NUT lK I I)DIN(i TI11S VNl:) 07/19/2004 09:54 6174720706 G AND L LABS PAGE 02 r G & L Laboratories ♦ watt•r ♦ T,wd/Sc, loud Aiud,•ay Analvsr, ♦ \1,�,oh hoi!i,al Tc,nng 11 Net riorl Atrrntrc. Quina- MA 02171 1-r1 (617) VS-1166: roN 1017) 1)_' 0i00 REPORT i;n)c I 2004 Lab. 1. D. N 29651 Ann; Mi. (Aucb 110co Puleo'5 Dairy (1�1 3761lifhland etc II/t)i Salcm. MA 011)7() JUL 19 2004 Sample Received I'lave/rimr: ry/I 1/0,1. pv, CITY OF SALEM Sample Received Tempc•r•niure: i.I°(.' BOARD OF HEALTH Sample .Analysis Dale/Timc: 6'I 41'04. ! I BL ,\41 Sample Identification: I\cn (2) Ice eseallt sa ,tPl. Llhrl:. I) Chncolaic ''W'..mul 1 ❑(1re r.;.,. 2) 131ac6 Raipttci1% 1(c C ,c(n•I TEST METHOD: A I'.I I A S! \NDARD M! I I hu,I TEST RF.,SU1..fS: SAMPLE rofAI,(_,)1.1> CIp(^'_;' CA_,,rr)ARo) Pi-_1 !:: ('OU�T/� I =50 2 Bacteriological Standard for 2f (il(L'r Frozen Dessevis LABORATOitV f I�.IjV CON- 'f_Rt1L„ All s:rml'ilc.v ,talc I%,R,ni' to he Ilial)CH'. 1,tic:; Il,..p " a ,:J r••t aCn pprkwii rl .vithiii A 1 1-1.A (designated holdine-tines. hpci, (fholon \,,ru i. : ,,I, 'u' ,:. ',.:t 1,11 • ;I, arc ni'eal„•_ V'wIcny)eralurc at the plating is 44,0•( CC Wem Roard ,i 14411th 06/23/2004 09:49 6174720706 G AND L LABS PAGE 01 � v G & L Laboratories i Water Analysis ♦ Food/Seafood Analysts + Metals/Chemical Analysis • Microbiological Testing 33 Newport Avenue, Quincy, MA 02171 Tel: (617) 3283663 Fax: (617) 472.0706 FACSIMILE TRANSMITTAL SHEET To: Ms. 3oanne Scott Date: 60 -,93-D4 Company: Salem Board of Health Tel: 978-741-1800 or Fax: 978-745-0343 E.Mail: jscott@salem.com 978-479-9911 (Cell) From: 0 Raw Data I.K Lab Reports ❑ For Review ❑ Reply ASAP 0 Other Remarks: '� Ivlu JUN 2 3 2004 CITY OF SALEM BOARD OF HEALTH r NUMBER OF NAGLS-__ (N01 INCLUDINQ-ri IS ONE) 06123/2004 09:49 6174720706 G AND L LABS PAGE 02 M G & L ��► -� Laboxataxies ♦ Water Analysis t frod/Seafooil Analysis Me,als/Chemncal Anatyst5 ♦ Microbiological 'resting 33 Newport Avenue, Quincy, MA 02171 Tek (617) 328-3663 Fax: (61.7) 472-0706 REPORT Lab. f.D.9 24313 May 21,2004 �(��/ Attn: Mr.Chuck Pulcu 1i !"1 �� Pulcds Dpiry VVV"" V��,`lJa! 37614ighland Ave. JUN '2 3 2004 Salem, MA 01970 Sample Received Date/Timc:5/13/03.5A5PM CITY OF SALEM Sample Received Temperature:-2.2°C BOARD OF HEALTH Sample Analysis Date/Time: 5/14/04, I0t30AM Sample Identification: Two(2)Ice Cream samples labeled- t, Chocolate Ice Cream 2. Chocolate Chip Ice Cream TEST METHOD: A.P.H.A. STANDARD MET140D TEST RESULTS: SAMPLE TOTAL COLIFORM/r, STANDARD PLATE COUNT/n, 32°C ta) 32°C 1 1 19,000 2 <1 8,700. Bacteriological Standard for 20 5&,(toll, Frozen Dessert,- LABORATORY OUALITY CONTROLS: All samples were found to be properly cooled upon receipt. All analyses were performed within AT.H.A designated holding-times. Pipet,dilution water,,agar,air density at the plating are negative. Agar temperature at the plating ,s 44 VC. CC:Salem Hoard of Health 0 & I, Labs. Inc. ()lana Liu Laboratory Director 05/05/2004 14:28 6170720706 G AND L LABS PAGE 01 MG & L Laboratories ♦ Water Analysis + Food/Seafood Analysis + Metals/Cherntcal Analysis + Microbiological Testing 33 Newport Avenue,Quincy, MA 02171 Tel. (017) 328-3663 Fax (617) 472-0706 FACSIMILE TRANSMITTAL SHEET To: Ms, Joanne Scott Date: Company: Salem Board of Health Tel: 978-741-1800 or Fax: 978-743-0343 B.Mail: jseott@aafem.com 978-417999l I (Cell) From: O//Rt'r4 l � // d 0 Raw Data f9 6b Reports 0 For Review ❑ Reply ASAP 0 Other Remarks: L f NUMBER01 PA{it S: ,_ __ (Nc}71NC:1,I)C}iNti 9Y tIS1)Nt:) 05/05/2004 14:28 6174720706 6 AND L LABS PAGE 02 M. G & L Laboratories 4 Water Analysis + Faod/Scatond Analysis ♦ MetalgChemiral Analysts ♦ Mierobtologlul Testng 33 Newport Avcn• le, Quincy, MA. 02171 Tel: (617) 328-3653 Fax: (617) 972-0706 REPORT Lab. I. D.d 29117 April 21,2004 Alun Mr. Chuck Pulco Pulco's Dairy 1745 highland Ave. Salem.MA 01970 Sample Received Datc/Time: 4/19/04. 3:2011M Sample Received Temperature:-3.6 IC: Sample Analysis Datc/rime: 4/16/04, 11:00AM Sample Identification:Twn(2)icc cream samples labeled. I. Vanilla lee Cream(Sell by 9/15(04) 2. Mint Clhocolatc Chip Ice Cream(Sell by 9/15/04} TEST MET14OD: A.P.H.A. STANDARD MF1'1-I00 TEST RESULTS: SAMPLE: TOTAL COLIFORNI/P STANI)ARD PLATE COUNT/2 fr132"C lie) 32-C 1 <1 <250 2 is 1.300 Bacteriological Standard for 20 SO,fl00 Fro-ren Desserts LABORATORY OUALITY CONTROLS: All samples were found to he properly cooicd upon receipt. All analyses were performed within A.P.14-A designated holding-times. Pipet,dilution water,agar.air density at the plating,are negative. Agar temperature at the plating iS 44 0^C. M: Salem Board of Hcalth G & L (.al's. Inc. Diana Lltt Laboratory Director I'n; • I irl I 04(0812004 13:02 6174720706 G AND L LABS PAGE 01 W G & L Laboratories + Water Analysis + Food/Seafood Analysis + Metals/Chemical Analysis _+ Microbiological Testing 33 Newport Avenue, Quincy. MA 02171 Tel: (617) 328-1663 Fax: (617) 472-0706 FACSIMILE TRANSMITTAL SHEET i To: Ms. Joanne Scott Date: Company: Salem Board of Health _ Tel: 978-741-1800 or Fax: 978-745-0343 E.Mail: iscott©salem.com 978-479-9911 (Cell) From: 0 Raw Data Lab Reports 17 For Review G Reply ASAP D Other Remarks: ! t/ cq NUMBER Of PAGES.__., �_._-(N0'1 INCLUDING'l HIS ONE) 04/08/2004 13:02 6174720706 G AND L LABS PAGE 02 ' w WJZ"11111ft . G & L Laboratories t Water Analysts * Food/Seafood Analyses t MetAl</('.hemfeal P.naly9ra ♦ Mierohioioy,ital Testing 33 Newport Avenue, Quincy, MA 02171 TO (6)7) 328-3663 Fax. (617) 472.0706 REPORT Lab.I.D.k 29921 Mar 23, 2004 Attn: Mr. Chuck Pulco Puleo's Dairy 376 Highland Ave. Salem, MA 01970 Sample Received Datc/Time: 3/17104,4:30PM Sample Received Temperature:1.5 °C Sample Analysis Date/Time:3118104, 10.00AM Sample Identirieation:Two(2)ice Cream samples labeled: I , Mocha Chocolate Chip(Sell By 8/15/04) 2, Pistachio Almcnid(Scil by 8!15/04) TEST METHOD: A P.N.A.STANDARD METHOD TT.ST RESULTS: SAMPLE TOTAL,COLIFORM/P. STANDARD PLATE COUNT/? (td.32-Ct, aft 1 5 31.000 2 2 X250 Bacteriological Standard for 20 50,000 Frozen Desserts LABORATORY OUALITY CONTROLS: All samples were found to he property cooled upon receipt. All analyses were performed within A P.H.A designated holding-limes. Pipet,dilution water,agar,air density at the plating are ncl.ptive Agar temperature at the plating is 44.01C. CC:Salem Board of Health G & L Labs. Inc Diana Liu Laboratory Director Page I of 1 - The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Division of Food and Drugs 305 South Street, Jamaica Plain, MA 02130-3597 MITT ROMNEY (617) 983-6700 (617) 983-6770 - Fax GOVERNOR '(.! KERRY HEALEY LIEUTENANT GOVERNOR 20U4 RONALD PRESTON fMAR 0L U ��;gSECRETARY LJ iUUUY CHRISTINE C.FERGUSON L:3%�7Lnh.I Ll _ V COMMISSIONER '`---- - Charles Puleo March 4,2004 Puleo's Dairy 376 Highland Ave. Salem,MA 01970 Dear Mr.Puleo: - —On February W_, 2004 milk and/or milk products were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance, 1999 Recommendations(PMO)is three hundred thousand(300,000)colonies per cubic centimeter, (100,000 for individual producer milk). —For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: -STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole,Lowfat&Skim Milk ' 20,000 10 Flavored Whole,Lowfat&Skim Milk 20,000 10 Cream,Half&Half 20,000 10 Egg Nog 20,000 10 —Cultured MilkandMilk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk(*) on the attached laboratory report. The Division will resample violative products within 21 days of the sending of this notice. If subsequent samples are in-violation;-enforcement action may follow. If you have any questions concerning these results,please call the Dairy Plant Inspection Unit at(617)983-6751. Sincerely, n^ u Zons Ellen A.Fitzgibbons Supervisor Food and Drug Inspector cc: Salem Board of Health Dairy Plant Inspection Unit S:\Bureau\Fpp\Dairy\SANiPLETR\DySmpiLtr.doe MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 I Reason for Collection: Routine Address: 376 Highland Ave. Responsible Plant Person: Chuck Puleo Salem, MA Inspector: Michael Wall Zip: _01970 Phone: 978-744-6455 Time In: 7:30 AM Time Out: 8:15 AM Received in Lab by: JAMS Date:2/10/04 Time: 11:54AM Recd Temp.Control: Raw: 2.0°C Past.: 2.0°C Date Tested: 2/10/04 Time Tested: 2:00 PM Temp. Control at Testing: Raw: 2.5°C Past.: 2.0"C DATE REPORTED: 2/17/04 ANALYST(S): JAMS, RTD REVIEWED BY: RTD Product Information Laboratory Results Date DFD Product Container Sample Code# Lab Coli/mL SPC/mL Inhibitors Phosphatase Other Collected Sample# Type Type Temp. or other Sample# or gram or gram pg/mL 2/10/04 XXX Raw Milk 4 oz.Vial 39°F Tank xxx xxx xxx xxx xxx j 2/10/04 XXX Skim Quart Plastic 36°F 21-Feb xxx xxx xxx xxx �ocx 2/10/04 XXX Sweet Water 4 oz.Vial 35°F Tank xxx xxx xxx xxx xxx 2/10/04 MW-5000 Raw Milk 4 oz.Vial 39°F Tank 04D-00164 NA 82,000 NF NA 2/10/04 MW-5001 Homo Quart Glass 36°F 21-Feb 04D-00165 <1 ECC 1,600 NF <1 2/10/04 MW-5002 Skim Quart Plastic 36°F 21-Feb 04D-00166 <1 ECC <250 ESPC NF <1 2/10/04 MW-5003 Chocolate Pint Plastic 36°F 21-Feb 04D-00167 <t ECC 520 NF <1 2/10/04 MW-5004 Light Cream Half Gallon Plastic 36°F 21-Feb 04D-00168 <1 ECC 400 NF <1 f 2/10/04 MW-5005 Sweet Water 4 oz.Vial 35°F Tank 04D-00169 <1/100 ML NA NA NA " Individual Producer XXX=Temp. Control Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader l / 1 ! t 119 C U I MAR 0 9 2004 �L_�Du Lj L'3 ---------- 03/10/2004 17:22 6174720706 G AND L LABS PAGE 02 f� G & L Laboratories Water Analys* ♦ Food/Sealoorl Analysis ♦ Metals/Chemical Analysis ♦ Microbiological Testing 33 Newport Avenue, Quincy, MA 02171, Tel (617) 328-''-663 Fax'. (617) 472-0106 REPORT Lab. 1.D.P 28752 F'O 26. 2004 Attn: Mr. Chuck Puleo Puleo's Dairy, 376 Highland Ave. Salem, MA 01970 Sample Received Datts'Time: 2/19/04. 3:55Ph9 Sample Received Temperature: Sample Analy.is Date/rimy: 2/21/04, !0:,IOAM Sample ldentiTteation: 1'wo Q,) Ice(;ream samples labaleil: I , [:lack Raspb4�rn• (Sell By 6/15/04) ?. Chocolate Chip (Soil [IV: TEST METHOD, A 1'.KA, l'ANr)A,tl?MI-'I'HOD TEST RESULTS: SAMPLE TOTAL COLIFORM/Z STANDARD PLATE. ('OI)NT/g (4 32'(- 4i), 32'(-: 2 I S,0 Bacteriologgic-A Standard lot- 20 5(1,0110 Frozen Desserts LABURAIC/11Y Q6 At_97.�,.a;;favTit()f��: All samples were found to lie plopcd.-, cooled upon rcewrt 111 analysa+werc perlornlcd within A.P.H-A designated holrJinc-times. Pira i. dilulhnr �A'ater. akar, :m•densis, at the pla inti dire negative Agar temperature at the plating is 44.0'(.. CC: Salem Board of Health Ci & l., labs, [lie. I J7 - Ditula I.irt f..;tbOrirt(11•)• �)ll'cCllOr M1100� 4G & L Laboratories ♦ Water Analysts ♦ Food/Seafood Analysis ♦ Metals/Chemical Analysis 4 Microbiological Testing 33 Newport Avenue, Quincy, MA 02171 Tel. (617) 328-3663 Fax: (617) 472-0706 REPORT Lab. I. D. #28429 Jan 14, 2004 Attn: Mr. Chuck Puleo Puleo's Dairy 376 Highland Ave. Salem, MA 01970 JAN 2 9 2004 Sample Received Date/Time: 12/18/03, 4:55PM `�° + •+nLLiy� H Sample Received Temperature:-3.5 °C BOARD UF �T!-1 Sample Analysis Date/Time: 12/19/03, 2:OOPM Sample Identification: Two(2)Frozen Dessert Samples Labeld: 1. Pumpkin Pie Ice Cream (Sell By 5/15/04) 2. Honey Grape Nut Ice Cream (Sell By 4/15/04) TEST METHOD: A.P.H.A. STANDARD METHOD TEST RESULTS: SAMPLE TOTAL COLIFORM/g STANDARD PLATE COUNT/g @ 32°C 32°C 1) <1 7500 2) <1 350 Bacteriological Standard for t0 50,000 Frozen Desserts LABORATORY OUALITY CONTROLS: All samples were found to be properly cooled upon receipt. All analyses were performed within A.P.I-I.A designated holding-times. Pipet, dilution water, agar, air density at the plating are negative. Agar temperature at the plating is 44.0°C. CC: Salem Board of Health G & L Labs, In Diana Liu Laboratory Director Page I of I 01/20/2004 13:44 6174720706 G AND L LABS P,t39F2 ■ G & L JAN 2 ® 2004 Laboratories CI1 + -i-M DOW6V Mi=HLTH Water Analysis i Foo(I/Seafood Analysis t Metals/Chemical Analysis ♦ Microbiological Testing 33 Newport Avenue, Quincy, MA 02171 Tel: (617) 328-3663 Fax (617) 4720706 REPORT Lab. 1. D.#18429 .tan 14, 2004 Attn: Mr. Chuck Puleo Puleo's Dairy 376 Highland Ave. Salem. MA 01970 Sample Received Date/Time: 12118103.4:55PM Sample Received Temperature:-3.,5 °C Sample Analysis Date/Time: 12/19/03,2:OOPM Sample identification: Two(2)Frozen Dessert Samples Labeld: 1. Pumpkin Pie Ice Cream(Sell By 5/15/04) 2. Honey Grape Not Ice Cream(Sell By 4/15/04) TEST METHOD: A.P.H.A. STANDARD METHOD TEST RESULTS: SAMPLE TOTAL COLIFORM/E STANDARD PLATE COUNT/o I) <1 7500 2) <1 350 Bacteriological Standard for 10 50,000 Frozen Desserts I,ABORATORY QUALITY CONTROLS: All samples were found to be property cooled upon receipt. All analyses were performed within A.1`11 A designated holding-times. Pipet, dilution water, agar,air density at the plating are negative. Agar temperature at the plating is 44.OoC. CC: Satem Board of Health G & L Labs, In Diana Liu Laboratory Director Page I of I G & L --Nlmw- Laboratories ♦ Water Analysis ♦ Food/Seafood Analysis ♦ Metals/Chemical Analysis ♦ Microbiological Testing 33 Newport Avenue, Quincy, MA 02171 Tel (617) 328-3663 Fax: (617) 472-0706 REPORT Lab. I. D. #28560 Jan 21, 2004 Attn: Mr. Chuck Puleo Puleo's Dairy �,�}+ 376 Highland Ave. wa �:r lrl7� Salem, MA 01970 FEB 17 2004 Sample Received Date/Time: 1/15/04,4:I OPM Sample Received Temperature:-8.5°C CITY OF SALEM Sample Analysis Date/Time: 1/16.04, 11:30AM BOARD OF HEALTH Sample Identification: Two(2) ice cream samples labeled: 1. Vanilla ice cream (sell by 4/15/04) 2, Chocolate ice cream (sell by 6/15/04) TEST METHOD: A.P.H.A. STANDARD METHOD TEST RESULTS: SAMPLE TOTAL COLIFORM/2 STANDARD PLATE COUNT/g- @ OUNT/a@ 32°C @ 32°C 1. <1 44,000 2. <1 2800 Bacteriological Standard for 10 50,000 Frozen Desserts LABORATORY OUALITY CONTROLS: All samples were found to be properly cooled upon receipt. All analyses were performed within A.P.H.A designated holding-times. Pipet, dilution water, agar, air density at the plating are negative. Agar temperature at the plating is 44.0°C. CC: Salem Board of Health G & L Labs, Inc. Diana Liu a Laboratory Director Page 1 of 1 The Commonwealth of Massachusetts Executive Office of Health and Human Services Department of Public Health Bureau of Environmental Health Food Protection Program DEVAL L.PATRICK 305 South Street, Jamaica Plain, MA 02130-3597 GOVERNOR 617-983-6712 617-983-6770 - Fax TIMOTHY P.MURRAY LIEUTENANT GOVERNOR JUDYANN BIGBY,MD SECRETARY JOHN AUERBACH COMMISSIONER Charles PUleo ��® July 11,2012 Puleo's Dairy 376 Highland Ave. AUG 0 6 2012 Salem, MA 01970 BOARD OF HEALTH On Dear Mr. Puleo: On June 26, 2012 milk and/or milk produc(s were collected from your plant by the Division of Food and Drugs. The bacteriological, inhibitor and phosphatase results are on the attached sheet. For raw milk and raw milk products, the maximum standard plate count permitted by 105 CMR 541.180 and Section 7 of the USPHS Pasteurized Milk Ordinance,2007 Recommendations(PMO) is three hundred thousand(300,000)colonies per cubic centimeter,(100,000 for individual producer milk). For graded pasteurized milk and milk products,the maximum bacteriological counts permitted by 105 CMR 541.000 and the PMO are as follows: STANDARD COLIFORM GRADED MILK&MILK PRODUCTS PLATE COUNT COUNT Whole,Lowfat&Skim Milk 20,000 10 Flavored Whole, Lowfat&Skim Milk 20,000 10 Cream, Half&Half 20,000 10 Egg Nog 20,000 10 Cultured Milk and Milk Products N/A 10 Yogurt N/A 10 Milk and milk products in violation of the above standards are indicated by an asterisk (*) on the attached laboratory report. The Division will resample violative products within21 days of the sending of this notice. If subsequent samples are in violation, enforcement action may follow. If you have any questions concerning these results, please call the Dairy Plant Inspection Unit at(617)983-6751. Sincerely, Ellen A. Fitzgibbo Supervisory Food and Drug Inspector cc: Board of Health Dairy Plant Inspection Unit S:\Bureau\Fpp\Dairy\SAMPLETR\DyS mpi Ltr.doc MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH Division of Food and Drugs Food Microbiology Laboratory Dairy Product Laboratory Analysis Form Name: Puleo's Dairy Plant# 25-32 I Reason for Collection: Routine Address: 376 Highland Ave. I Responsible Plant Person: Chuck Puleo Salem, MA I Inspector: James Hope Zip: _01970 Phone: 978-744-6455 I Time In: 9:00 AM Time Out: 9:45 AM Received in Lab by: RTD Date: 6-26-12 Time:1:15 PM Recd Temp. Control: Raw: ° C Past.: 1.5° C Date Tested: 6/26/2012 Time Tested: 1:30 PM Temp. Control at Testing: Raw: ° C Past.: 1.5°C DATE REPORTED. 6/29/2012 ..::.-.ANALYST(S): RTD REVIEWED BY: RTD oduct Information .. Laboratory Results Date ISFmD - Product Container. - Sample Code-# Lab Coli/mL SPC/mL Inhibitors hosphatas Other Collected ample# Type Type Temp. or other Sample# or gram or gram I pg/mL - 6/26/2012 XXX Chocolate Quart Plastic_ 35°F 7-Jul - _- 6/26/2012 ( XXX Sweet Water 4 oz. Vial : "' I 64°F _ Tank XXXXXXX XXXXXXX I IXXXXXXRXXXXX 6/26/2012 IJH-355 I Homo I 1/2 Gallon Plastic 35°F 7-Jul 12D-620 I <1 EPCC <250 EPACI NF I NF 6/26/2012 IJH-356 I Skim I 112 Gallon Glass I'- 35°FI 7-Jul 12D-621 I <1 EPCC 11250 EPACI -NF I NF 6/26/2012 IJH-357 _ I Chocolate I Pint Plastic I 35°FI 7-Jul 12D-622 I <1 EPCC I<250 EPACI NF I NF 6/26/2012 IJH-358 I Light Cream I Pint Plastic " I - 35°Fl 7-Jul 12D-623 I <1 EPCC 11250 EPACI NF I NF I 6/26/2012 IJH-359 I Sweet Water I 4 oz. Vial I 64°FI Tank 121D-624 I 11/100 MI I NA I NA I NA I 6/26/2012 IJH-3.60 I Glass Bottle I 1/2 Gallon Glass I NAI NA 12D-625 I <2 RCC I 110 RBC I NA I NA I I i I I I I I I I I I I I I I I I I I "Individual Producer XXX=Temp. Control '=Violation NA=Not Applicable NF=Not Found RBC=Residual Bacterial Count RCC=Residual Coliform Count ECC=Estimated Coliform Count ESPC=Estimated Standard Plate Count TNTC=Too Numerous To Count SPR=Spreader 1