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TUESDAY MORNING INC - ESTABLISHMENTSTUESDAY MORNING INC 19 Paradise Road Q u u ih Tuesday aornii�thing 50% O 80% Off ^ q•1a �� 35�� 9 .. a=avAlf ml CITY OF SALEM BOARD OF HEALTH 120 WASHINGTON STREET, 4TH FLOOR SALEM, MASSACHUSETTS 01970-3523 0004260321 FEB 19 2009 MAILEDFROMZIPGODE U197U N,.LXZE 01$ OD 1 39 02/.20/09 RETURN TO SENDER ATTEMPTED - NOT xNOWN UNADL.M TO FORWARD B0: 01970352399 *..2021--00715-153-44 _�•_•� I��.r>:�:�7��a� )fJ,,,,,,111,1„L„I1L,„.II„1,1,,,1,1„11,1,1„i.l„��I,il I cz 1 11 Milt 1 tlt tit t it t it i it ti itill t ltlt 1 It i es P% � F 6r� FITNEV HDYYES 002 $ O 4 J 060321 S 1 9 20 9 MAILED FROM ZIPCODE 01 970 KIMBERLEY DRISCOLL MAYOR JANF; I' MANCINI A(."NNG HEALTI I AGENT' CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 120 WASHINGTON STREET, 4" FLOOR TEL. (978) 741-1800 FAx (978) 745-0343 IMANCINI 0171 SALI?M COM To: Food Establishments From: Janet Mancini, Acting i e lth Agent Re: Peanut product recall Date: February 5, 2009 As you may be aware, recently there has been a recall of peanut -containing products produced by the Peanut Corporation of America due to salmonella contamination. The FDA is maintaining a list of all recalled products on their website at http://www.accessdata.fda.fzov/scripts/peanutbutterrecall/index.cfm. The FDA has advised that retailers stop selling recalled products, and that food service establishments ensure they are not serving recalled products and confirm with their suppliers the source of their peanut product ingredients. The list is available on the above FDA website, or a copy is available for -review nt.the Salem Board of Health. Thank you for your cooperation. Please contact the Board of Health at 978- 741-1800 with any questions. Commonwealth of Massachusetts s City of Salem Board of Health IGt berley Driscoll 120 Washington Street, 4th Floor Mayor SALEM, MA 01970 Food/Retail Establishment Permit DATE PRINTED: 12/23/2008 ESTABLISHMENT NAME: File Number: BHF -2006-000075 LOCATED AT: Tuesday Morning Inc. 19 Paradise Road SALEM MA 01970 SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions / Notes RETAIL FOOD BHP -2009-0166 Dec 23, 2008 Dec 31, 2009 $280.00 PERMIT EXPIRES Total Fees: $280.00 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 8 C=atherine Doyle Business License Coordinator 00 0 •LO Too O Tuesday Morning, Inc. 6250 LBF Freeway ul W Dallas, Texas 75240 (972)387-3562 x7479 Fax: (972) 3921558 r doyle @ Wesda 1�•�( tuesdaymoming.com NAME OF EST ADDRESS OF 9787458739 TUESDAY MORNING 937 CITY OF SALEM, MASSACHUSETTS BOARD OP HEALTH 120 WASI-IINGTON STREET, 47"FLOOR TEL. (978) 741-1800 ):'AY (978) 745-0343 iDiONNL&,ALQM. COM PAGE 02/03 2009 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT TEL# a FAX MAILING ADDRESS (if different) L 23 O L j3� �re,wa Ski\\Q5 EMAIL - Business': lY iJL44 fr;r ,CDM Website: ✓7� 7 /^ OWNER'S NAME z'l✓ +-A TEL n ADDRESS 2vtD L6� t'�wa1 9ak\4, STREET CITY STATE ZIP CERTIFIED FOOD MANAGERS NAME., - CERTIFICATE#(S), L\ -N (Required In an establishment where potentially hazardous food is prepared) FMPRr;ENCYRESPONSE PER SON -J/r^ SLL'',,j _HOMETEIit ':DAXSOF'Of?ERATION?•'. :.Mdnd :.�; �^TuBSdA'. i •? tAl¢dnesda r s!` ',;Tbursd . . �� F.iida, . ,:..Satuld `.';', l?Shctd HOURS OF OPERATION ' j ', b , ID -1 ( O 1 6 Please write in fte d day. 619 �D Forexam le 11am•11 TYPE OF ESTABLISHMENT RETAILSTORE . NO (Outdoor Stationary Food Cart $2101 FEE (check only) less than 1000sq.ft. 1000-10,000sq.tt.$280 morethan 10,000sq. 25.99 seats =$280 more than 99 seats =$420 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. Pursuant to MGL Chapter 62C• Section 49A, I cartlfy under the pains and penalties of perjury that I, to my best knowledge and belief, have filed all state tax returns and paid all state taxes required under the law. zz—� �Qi, \ \�\b d 5 Date Revised 4/24/177 FOODAP217o8.adm Cba"&Datc5 or Fcdcml IMPORTANT M %SAGE, FOR Uin DATE TIME M OF !!� PHONE CJS/ Y g - AREA CODE NUMBER NSION 0 FAX 0 MOBILE AREA CODE NUMBER TIME TO CALL TELEPHONED PLEASE CALL CAME TO SEE YOU. WILL CALL AGAIN WANTS TO SEE. YOU RUSH` RETURNED YOUR. CALL WILL FAX TO YOU MESSAGE a �� NOTES------ -t Commonwealth of Massachusetts City of Salem Board of Health 120 Washington Street, 4th Floor SALEM, MA 01970 Food/Retail Establishment Permit DATE PRINTED: 01/07/2008 ESTABLISHMENT NAME: File Number: BHF -2006-000075 LOCATED AT: i(imberiey Driscoll Mayor Tuesday Morning Inc. 19 Paradise Road SALEM MA 01970 SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions / Notes RETAIL FOOD BHP -2008-0225 Jan 4, 2008 Dec 31, 2008 $70.00 Total Fees: $70.00 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, or equipment changes are made, all plans for such must be submitted to and approved by the Salem Board of Health. Page 3 of 4 11/20/2007 14:02 Map KIN MERI.EY DRISCOLL MAYOR 9787458739 TUESDAY MORNING 937 PAGE 02/03 QTY OF SALEM, MASSAC."HLJ = BOARD OF HEALTH 120 WAstzNGToN STREET, 411 FLOOR. TFL. (978) 741-1800 FAX(978)745-0343 RECMVED 1SCOMSALEni COM L. JOAr>NE SCOTT, 'JAN - 3 2008 HEALTHAGE NT CITY OF SALEM BOARD OF HEALTH 2008 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT NAME OF ESTABLISHMENT✓� fit�q� 6rlvtw, .� TEL #__q� ADDRESS OF ESTABLISHMENT Va FAX # MAILING ADDRESS (if different) 1P-Q`-rD Lb.S !Lse ,R= j 11 04k EMAIL -Business': OWNER'S NAME �l vtl�t�p,� (*1rX ;�. ` q=! 1 TEL #_'119k 347 34.X *1 19 ADDRESS & QLD LdS -) 57Q-1 L7 STREET CITU STATE ZIP CERTIFIED FOOD MANAGER'S NAME(S)_ CERTIFICATE#(S) (R6qulred In an establishment where potentially )hazardous food is prepared) - - EMERGENCY.RESPONSE PERSON?r,1A f^f' (&i1-ct\ 'A ,o e HOME TEL#' 14'1'-4g`, DAYS OF OPERATION " Monday- I Tuesday, _ Wednesday Thursday , Frday_:;• • Saturday _ Sunda HOURS OF OPERATION Please write in Gore of day.' (Fermcamplellam-llam) more than 1O,000sq.ft. =$420 TYPE OF ESTABLISHMENT RETAIL STORE YE NO ...................................------------ RESTAURANT YES NO (Outdoor Stationary Food Cart $210) ............................................................. ...................... BEO/BREAKFAST/ YES 1� CHILDCARESERYICES ............................... ADDITIONAL PERMITS MAKE (not just serve) ICE CREAM, YOGURTISOFT SERVE TOBACCO VENDOR ALL NON-PROFIT (such as church kitchens) FEE (check onhrl less then 1000scift Q-170 - 4r &A Far 1000-10,0DOsq1t. more than 1O,000sq.ft. =$420 ------------•---•....................^........... less than 25 scats =$140 ..ate 7"1 �-"' 25-99 seats =5280 ►.�,i more than 99 seats c$420 YES$25 YES O $135 YES $25 *Please pay total with one check payable to the City of Salem. ThisPerrnit 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.Stata Sanitary Code, -before any renovations, improvements, or equipment changes are made, all plans for such must be`submitted Wand approved by the Salem Board of Health. Pursuant to MGL,Chapter 62C, Section 49A, 1 eenlfy under the pains and penalfies of perjury that I, to my best knowledge and belief, have filed all state tax return _ paid 2111 state taxes requlred under the law. '- - o -1'6� . 14,q4 9 g� . Signature f�� MM�r Da 4," L; &� nm,.Vocjal Security or Pe leml Identification Number Revised 4124107 FOODAP2008.adm Check# & Dau 19 Paradise Road Telephone: (978) 745-8730 Owner: Tuesday Morning Inc. PIC: Jim Myron Inspector: John Gehan Date Inspected: Correct By: 11/30/2006 Risk Level: Permit Number: BHP -2006-0670 Status: FULL COMPLY # of Critical Violations: 0 Time IN: Time OUT: Urgency Description(s): BLUE: Violations Related to Good Retail Practices (Critical violations must be corrected immediately or within 10 days)(Non-critical violations must be corrected immediately or within 90 days) City of Salem RETAIL FOOD - Food Establishment Inspection HACCP: ❑ Tuesday Morning Inc. Item Status Violation Critical Urgency FOOD PROTECTION MANAGEMENT PIC Assigned / Knowledgeable / Duties PASS RED Non-compliance with: Anti -Choking PASS Tobacco PASS EMPLOYEE HEALTH Reporting of Diseases by Food Employee and PIC PASS RED Personnel with Infections Restricted/Excluded PASS RED FOOD FROM APPROVED SOURCE Food and Water from Approved Source PASS RED Receiving/Condition PASS RED Tags/Records/Accuracy of Ingredient Statements PASS ❑J RED Conformance with Approved Procedures/HACCP Plans PASS ❑J RED City of Salem Board of Health 120 Washington Street, 4th Floor SALEM MA 01970 (978) 741-1800 GeoTMS® 2006 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Dec 01,2006) Page 1 of ` Item Status Violation Critical Urgency ICED: PROTECTION FROM CONTAMINATION Violations Related to Separation/ Segregation/ Protection PASS RED Foodborne Illness Interventions and Risk Factors (Require Food Contact Surfaces Cleaning and Sanitizing PASS RED immediate corrective action) Proper Adequate Handwashing PASS 0 RED Good Hygienic Practices PASS 0 RED Prevention of Contamination from Hands PASS RED Handwash Facilities PASS 0 RED PROTECTION FROM CHEMICALS Approved Food or Color Additives PASS 0 RED Toxic Chemicals PASS 0 RED TIME/TEMPERATURE CONTROLS (Potentially Hazardous Foods) Cooking Temperatures PASS RED Reheating PASS 0 RED Cooling PASS 0 RED -- - ---- - Hot and Cold Holding PASS 0 RED Time As a Public Health Control PASS 0 RED REQUIREMENTS FOR HIGHLY SUSCEPTIBLE POPULATIONS (HSP) Food and Food Preparation for HSP PASS RED CONSUMER ADVISORY Posting of Consumer Advisories PASS RED City of Salem Board of Health 120 Washington Street, 4th Floor SALEM MA 01970 (978) 741-1800 GeoTMS® 2006 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Dec 01,2006 ) Page 2 of Item Status Violation Critical Urgency Violations Related to Good Retail Practices (Blue Items) Food and Food Protection PASS BLUE Equipment and Utensils PASS BLUE Water, Plumbing and Waste PASS BLUE Physical Facility PASS BLUE Management and Personnel PASS BLUE Poisonous or Toxic Materials PASS BLUE Special Requirements PASS BLUE Other- See Notes PASS BLUE GENERAL COMMENTS: Bathrooms should have signs stating employees must wash hands. This establishment has met all requirements to operate. City of Salem Board of Health 120 Washington Street, 4th Floor SALEM MA 01970 (978) 741-1800 GeoTMS® 2006 Des Lauriers Municipal Solutions, Inc. Commonwealth of Massachusetts ( Rev. Dec 01,2006 ) Page 3 of i1 -oil' 06n pff' J s iF'r ��Q,. 'xx"• lYa# r. City of Salem`" i Board of Health IGmberiey Driscoll 120 Washington Street, 4th Floor Mayor SALEM, MA 01970 Food/Retail Establishment Permit DATE PRINTED: 11/30/2006 ESTABLISHMENT NAME: File Number: BHF -2006-000075 LOCATED AT: Tuesday Morning Inc. 19 Paradise Road SALEM MA 01970 SALEM, MA 01970 Permit Type Permit No. Permit Issued Permit Expires Fee Restrictions / Notes RETAIL FOOD BHP -2006-0670 Nov 30, 2006 Dec 31, 2007 $50.00 Total Fees: $50.00 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, bcofre 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 of 1 CITY OF SALEM, MASSACHUSETTS o BOARD OF HEALTH a 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 2007 APPLICATION FOR PERMIT TO OPERATE A FOOD ESTABLISHMENT NAME OF ESTABLISHMENT T(JE6QAY M(R NU N i�j .LNC, TEL # ADDRESS OF ESTABLISHMENT PAVAM `tet RD FAX # 9W -MI5 - 3A MAILING ADDRESS (if different) "SO Lg S E?,F-F VV AY I ZU66 1% '752RD EMAIL -- Business': Owner's: OWNER'SNAMELfIFSMY M017.N1A61 IAL TEL#91a.-3 '3562 - ADDRESS dINIZ-4 .qTr>.FFT CITY STATE ZIP CERTIFIED FOOD MANAGER'S NAME(S)NI/4 CERTIFICATE#(S) (Required in an establishment where potentially hazardous food is prepared) EMERGENCY RESPONSE PERSOZAMT'E %M) ZEAL) HOME TEL #FDR--A:W 9B9 DAYS OF OPERATION Monday Tuesday Wednesday TAursday Friday Saturday Sunday NOURSOFOPERATION Please write in time of doll. (For examole llam-11111m1 TYPE OF ESTABLISH NT RETAIL STORE ES NO - - ----- - - ------------ - ------ - .. RESTAURANT YES O - ---- -------------- ----- -------- BED/BREAKFAST YES NO FEE (checkooltya�^� less than 1 nnnsq r. T> 1000-10,000sq.ft. =$100 more than 10,000sq.ft. =$250 - -------- ------------ ------- ----- -----------.... ---- --... - --- ----.... less than 25 seats =$100 25-99 seats =$150 more than 99 seats =$200 ------------ --------------....------------------------------------------ $100 ------- --------------------...------------------------------ ADDITIONAL PERMITS MAKE (not just serve) ICE CREAM, YOGURT, SOFT SERVE TOBACCO VENDOR ALL NON-PROFIT (such as church kitchens) --- -----------------------------------------...- YESO $5 YES $50 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. Pursuant to MGL Chapter 62C, Section 49A, I certify under the pains and penalties of perjury that I, to my best knowledge and belief, hive fled mate tax returns and paid all state taxes required under the law. Signature Date Social Security or Federal Identification Number ------------ ------ ------------------ ---------------------- - - -- -- ^-� - ------------------ ----------------------------------------------------------- Revised 1 1/1 3/06 FOODAP2007.adm Check# & Date !� $ -1 11 60 0 I CV 0 I co co Lo ro M GENERAL NOTES: 1. ALL DIMENSIONS TO BE FIELD ;VERIFIED. 2. FLOOR IS TO BE LEVEL AND FREE OF OBSTRUCTION 2. SEE EXHIBIT "B" WALL KEY: DEMOLISH i EXISTING TO REMAIN TO BE CONSTRUCTED FIXTURED WALL — ——••—••— — SYMBOLS LEGEND: 0 110 ELECTRICAL OUTLET PA DETEX PANIC ALARM V z z o Q o Lo_ Ld w LL X d Mw� M F- Cn N � J 0) N J 0 r �n / w 49'-91 RECEIVING 0 z c} n L0 / FREIGHT K) N (n U aCK a o ! PA Fy� EXIT REC ECRECRE REC I REC I REC IREC RECRE Ivo Y 00 00 a ¢ to o o' O RECEIVING AREA p O F- M'tN Md•=� ,O)J m (655 SQ. FT.) ry O Z I I I 1 1 1 1 I I I MOP p 0000 000 cy0°coa�0 (n °� ..o0� w RECRE RE RE ®SINK V U -i w9 1 W 6'— n 8'-0 W U LTJ L — 12'-0" 33� 33 pU p W N ^rkj"dk,UN MGR v�� v SCALE: 1/8" = I I Oo LI- (n (n (n (n UI (n BREAK �o a (_'a0 a0z WOfW 0 24" ccks-8'(Height o W �Wm ¢ 2437ccks-(3'Height) a Q I I I N ro N V) O^ O I Platform Lo (� 5'-3" �Q x V) 5'-3" `S W (n W 0' LL, (n 0 24 "Racks -(6 "Height) i Lo EC REE'BmCC 6"4'- 4-2 0° 4 " 8 ', i4-8" i- co y U V Up OU p Wc�4OoI RREC R C RRE Lr C R0 EC RE 3 'm 5-0nm4'-8" 40-61"4'-6 4-62" 4'-62"2 4'-8" Ar:� -CZ fa 13 co co co to N N N o N ' ' l RE �r 0 4'-6" I 0REC �3' REC " = e I L �` 00 I Lo , LCAD Re ¢ Reg. Reg. _ U4'-0" 4' -On _ � � L 1 J = ca Lo 3' P/c t 3' Plat 3' Plat 1" E A ^ Plat ENTRANCE 3' Plot -1 11 60 0 I CV 0 I co co Lo ro M GENERAL NOTES: 1. ALL DIMENSIONS TO BE FIELD ;VERIFIED. 2. FLOOR IS TO BE LEVEL AND FREE OF OBSTRUCTION 2. SEE EXHIBIT "B" WALL KEY: DEMOLISH i EXISTING TO REMAIN TO BE CONSTRUCTED FIXTURED WALL — ——••—••— — SYMBOLS LEGEND: 0 110 ELECTRICAL OUTLET PA DETEX PANIC ALARM V z z o Q o Lo_ Ld w LL X d Mw� M F- Cn N � J 0) N J 0 r �n / w Q 0 z c} n L0 O Y U CK K) N (n U aCK a o o Ivo Y 00 00 a ¢ to o o' O X X X X 3 x a p O F- M'tN Md•=� ,O)J m ry O Z I I I 1 1 1 1 I I I �i;0LZ p 0000 000 cy0°coa�0 (n °� ..o0� z o m� '00 V U W m u i LL O W U LTJ Z � 33� 33 pU p Q ^rkj"dk,UN X v�� v SCALE: 1/8" = I I Oo LI- (n (n (n (n UI (n (n m �o a (_'a0 a0z WOfW 0 W �Wm ¢ ao �p io io ih M i� I I I I a Q I I I N ro N V) O^ O I -1V)(%j (� Q 0 c} n L0 K) N o (D 00 o o' co z �No0Q P (J l m ry O }O\ Q cy0°coa�0 (n °� ..o0� z o m� O V w~ I (n Z - If Li- O✓ z W m u i LL O of V) pU p Q SCALE: 1/8" = 1'-0" W C� W Q 5; -1V)(%j (� (n W x V) Q `S W (n W 0' LL, (n Q 0 04 Lu o o o' co z �No0Q P m ry O }O\ Cr)Z� cy0°coa�0 (n °� ..o0� z o m� o V w~ I (n Z - If Li- O✓ z V) m u i LL m of >Mmmmzo pU p SCALE: 1/8" = 1'-0" Tuesday Morning What will you find today? February 9, 2009 NOTICE OF DISCONTINUATION OF BUSINESS LOCATION This letter is to notify you that we have closed the Tuesday Morning store located in your City as of 12/31/08. I have provided the complete address as well as contact information. If there are any additional fees that need to be addressed or you need additional information please contact me at your earliest convenience. Complete address: Tuesday Morning #0937 19 Paradise Rd Salem, MA 01970 Contact Information: Tuesday Morning Inc. - #937 Catherine Doyle — Business License Coordinator 6250 LBJ Freeway Dallas, TX 75240 cdoyl�tuesdaymorning.com 972-387-3562 ext.7479 Thank you for your assistance. Catherine Doyle 6250 LBJ Freeway Dallas, Texas 75240 972-387-3562 www.tuesdaymorning.com