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Application 380 Foster Street
1530 Sullivan Avenue, South Windsor, CT 06074—Office Address Phone Number: (860) 337-6173 Fax: (860) 644-1930 R.C t,` Restaurant Establishment Information New Permit❑ Permit Renewal ***(Please Print Clearly)*** Name of Establishment: South Windsor Public Schools - Orchard Hill Manager's Name: Brenda Brancuccio Street Address: 380 Foster Street City, State, Zip Code: South Windsor, CT 06074 Phone#: 860-512-8568 Cell Phone#: Fax#: E-Mail Address: Orchardhill.fs@yahoo.com Seating Capacity: 359 Please submit latest copy of the Qualified Food Opera tor/ServSafe certificates to the office. Qualified Food Operator: YES® NO ❑ (Required for Certificate#: 7387174 Class 3&4) Name: Brenda Brancuccio Date: 10-20-2010 Testing Organization: Servsafe Phone#: 860-512-8568 E-Mail Address: Alternate Phone#: Designated Alternate 1: Sharon Zwick Designated Alternate2 Restaurant Owner Contact Information Owner's Name: Greg King —Chartwell's Dining Street Address: 161 Nevers Road City, State, Zip Code: South Windsor, CT 06074 Phone#: 860-474-1440 Fax #: E-Mail Address: gking@swindsor.kl2.ct.us Cell Phone#: Renovations Were there any renovations made last year? YES® NO ❑ Will there be any renovations? YES❑ NO ❑ If Yes, please list all renovations Brand new building/kitchen that were done/to be done: Mailing Address to send Food License Renewal Permit to: RECEIVED Name of Restaurant/Company: Chartwell's Dining OEC 2 0 2017 Attention: Greg King SGu+1I',1Vtt,4 ;OR Address: 161 Nevers Rd HiEALV DEPT City, State, Zip Code: South Windsor, CT 06074 Phone#: 860-474-1440 EXAM FORM NO. 4560 ServSaf e SJ CERTIFICATE NO. 7387174 .ServSafe@ Certificatiffon To BRENDA BRANCUCCIO for successfully completing the standards set forth for the ServSafe'Food Protection Manager Certification Examination, which is accredited by the American National Standards Institute (ANSI)—Conference for Food Protection (CFP). 10/2 0/2 010 DATE OF EXAMINATION 10/2 0/2 015 DATE OF EXPIRATION Local laws apply Check with your loc3l regulatory agency for recertification requirements. NATIONAL `- —- RESTAURANT ® o Paul Hineman ASSOCIATION #0655 Executive Director, National Restaurant Association Solutions 02010 National Restaurant Association Educational Foundation.All rights reserved.ServSafe and the ServSafe logo are registered trademarks of the National Restaurant Association Educational Foundation, and used under license by National Restaurant Association Solutions,LLC,a wholly owned subsidiary of the National Restaurant Association. This document cannot be reproduced or altered, 10070201 v.1007 December 2017 Orchard Hill School Lunch MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY Main Entrees • Cheese Pizza • Classic Cheeseburger in Bun Alternate Entrees • Bagel with Yogurt and String Cheese Sides for All Meals • Steamed Broccoli Florets Extra Extra • Creamy Carrot&Raisin Salad • Fresh Broccoli Florets • Green Peas • Fresh Whole Fruit • Assorted Chilled Fruit Milk&Condiments • 1%Low-fat Milk Skim Milk Strawberry Skim Milk Chocolate Skim Milk Ketchup Yellow Mustard Mayo Light Ranch Dressing Main Entrees Main Entrees Main Entrees Main Entrees Main Entrees • Classic American Sweet&Sour Chicken Cheesy French Bread Pizza Chicken Nuggets Cheese Pizza Cheeseburger Asian Brown Rice Gardenburger on Whole Grain Dinner Roll Gardenburger on Whole Grain • Gardenburger on Whole Grain Turkey Hot Dog Alternate Entrees Turkey Hot Dog Alternate Entrees Alternate Entrees Alternate Entrees • Nachos Fun Lunch Alternate Entrees • Nachos Fun Lunch • Nachos Fun Lunch • Nachos Fun Lunch Sides for All Meals • Nachos Fun Lunch Sides for All Meals Sides for All Meals Sides for All Meals • Broccoli Sides for All Meals • Savory Green Beans • Baked Crinkle Fries • Seasoned Carrots Extra Extra • Vegetarian Baked Beans Extra Extra Extra Extra Extra Extra Corn Salad with Ranch Extra Extra Corn Salad with Ranch • Corn Salad with Ranch Green Beans Fresh Carrots Green Beans Red and Green Bell Pepper • Red and Green Bell Pepper Fresh Broccoli Florets Sliced Cucumbers Fresh Broccoli Florets Strips Strips Fresh Celery Sticks Fresh Whole Fruit Fresh Cherry Tomatoes Green Peas • Fresh Carrots Fresh Whole Fruit Assorted Chilled Fruit Fresh Whole Fruit Fresh Whole Fruit • Fresh Whole Fruit Assorted Chilled Fruit Milk&Condiments Assorted Chilled Fruit Assorted Chilled Fruit • Assorted Chilled Fruit Milk&Condiments 1%Low-fat Milk Milk&Condiments Milk&Condiments Milk&Condiments 1%Low-fat Milk Skim Milk 1%Low-fat Milk 1%Low-fat Milk • 1%Low-fat Milk Skim Milk Strawberry Skim Milk Skim Milk Skim Milk • Skim Milk Strawberry Skim Milk Chocolate Skim Milk Strawberry Skim Milk Strawberry Skim Milk • Strawberry Skim Milk Chocolate Skim Milk Ketchup Chocolate Skim Milk Chocolate Skim Milk • Chocolate Skim Milk Ketchup Yellow Mustard Ketchup Ketchup • Ketchup Yellow Mustard Mayo Yellow Mustard Yellow Mustard Yellow Mustard Mayo Light Ranch Dressing Mayo Mayo • Mayo Light Ranch Dressing Light Ranch Dressing Light Ranch Dressing • Light Ranch Dressing Main Entrees Main Entrees Main Entrees Main Entrees Main Entrees • Chicken Taco Meat Whole Grain French Toast Macaroni and Cheese Crispy Chicken Breast Cheese Pizza • Baked Tortilla Scoops Sticks Whole Grain Dinner Roll Tenders Classic Chicken Sandwich • Shredded Cheddar Cheese Turkey Sausage Link Classic Chicken Sandwich Whole Grain Dinner Roll Alternate Entrees • Classic Chicken Sandwich Toasted Three Cheese Alternate Entrees Toasted Three Cheese • PB&J Fun Lunch Alternate Entrees Sandwich • PB&J Fun Lunch Sandwich Sides for All Meals • PB&J Fun Lunch Alternate Entrees Sides for All Meals Alternate Entrees • Mixed Greens Salad Sides for All Meals • PB&J Fun Lunch • Roasted Carrot Fries • PB&J Fun Lunch Extra Extra • Mexicali Corn Sides for All Meals Extra Extra Sides for All Meals Marinated Tomato& Extra Extra • Tater Tots Red and Green Bell Pepper • Seasoned Broccoli Cucumber Salad • Fresh Broccoli Florets Extra Extra Strips Extra Extra Citrus Chick Pea Salad • Citrus Chick Pea Salad Green Peas Citrus Chick Pea Salad Green Peas Green Peas • Fresh Carrots Fresh Carrots Sliced Cucumbers Fresh Carrots Fresh Whole Fruit • Fresh Whole Fruit Fresh Celery Sticks Fresh Whole Fruit Fresh Cherry Tomatoes Assorted Chilled Fruit • Assorted Chilled Fruit Fresh Whole Fruit Assorted Chilled Fruit Fresh Whole Fruit Milk&Condiments Milk&Condiments Assorted Chilled Fruit Milk&Condiments Assorted Chilled Fruit 1%Low-fat Milk • 1%Low-fat Milk Milk&Condiments 1%Low-fat Milk Milk&Condiments Skim Milk • Skim Milk 1%Low-fat Milk Skim Milk 1%Low-fat Milk Strawberry Skim Milk • Strawberry Skim Milk Skim Milk Strawberry Skim Milk Skim Milk Chocolate Skim Milk • Chocolate Skim Milk Strawberry Skim Milk Chocolate Skim Milk Strawberry Skim Milk Ketchup • Ketchup Chocolate Skim Milk Ketchup Chocolate Skim Milk Yellow Mustard • Yellow Mustard Ketchup Yellow Mustard Ketchup Mayo • Mayo Yellow Mustard Mayo Yellow Mustard Light Ranch Dressing • Light Ranch Dressing Mayo Light Ranch Dressing Mayo • Light Ranch Dressing Light Ranch Dressing • Syrup,Pancake,1.4 oz • r Main Entrees Main Entrees Main Entrees Main Entrees Main Entrees • Whole Grain Waffles Chicken Nuggets Cheese Stuffed Breadsticks Japanese Cherry Blossom Cheese Pizza • Turkey Sausage Link Sweet Mustard Dressing Marinara Sauce Chicken Mini Turkey Corn Dogs • Mini Turkey Corn Dogs Dinner Roll Mini Turkey Corn Dogs Lucky Fried Rice Alternate Entrees Alternate Entrees Gardenburger on Whole Grain Alternate Entrees Gardenburger on Whole Grain • Muffin&Goldfish Fun Lunch • Muffin&Goldfish Fun Lunch Alternate Entrees • Muffin&Goldfish Fun Lunch Alternate Entrees Sides for All Meals Sides for All Meals • Muffin&Goldfish Fun Lunch Sides for All Meals • Muffin&Goldfish Fun Lunch • Mixed Greens Salad • Seasoned Carrots Sides for All Meals • Roasted Broccoli Sides for All Meals Extra Extra Extra Extra • Tater Tots Extra Extra • Seasoned Peas Corn&Pepper Salad • Corn&Pepper Salad Extra Extra Corn&Pepper Salad Extra Extra Fresh Cherry Tomatoes • Sliced Cucumbers Fresh Broccoli Florets Spicy Roasted Garbanzo Fresh Broccoli Florets Green Peas • Fresh Carrots Green Peas Beans Sliced Cucumbers Fresh Whole Fruit • Fresh Whole Fruit Fresh Celery Sticks Sliced Cucumbers Fresh Cherry Tomatoes Assorted Chilled Fruit • Assorted Chilled Fruit Fresh Whole Fruit Fresh Whole Fruit Fresh Whole Fruit Milk&Condiments Milk&Condiments Assorted Chilled Fruit Assorted Chilled Fruit Assorted Chilled Fruit 1%Low-fat Milk • 1°%Low-fat Milk Milk&Condiments Milk&Condiments Milk&Condiments Skim Milk • Skim Milk 1%Low-fat Milk 1%Low-fat Milk 1°%Low-fat Milk Strawberry Skim Milk • Strawberry Skim Milk Skim Milk Skim Milk Skim Milk Chocolate Skim Milk • Chocolate Skim Milk Strawberry Skim Milk Strawberry Skim Milk Strawberry Skim Milk Ketchup • Ketchup Chocolate Skim Milk Chocolate Skim Milk Chocolate Skim Milk Yellow Mustard • Yellow Mustard Ketchup Ketchup Ketchup Mayo • Mayo Yellow Mustard Yellow Mustard Yellow Mustard Light Ranch Dressing • Light Ranch Dressing Mayo Mayo Mayo • Syrup,Pancake,1.4 oz Light Ranch Dressing Light Ranch Dressing Light Ranch Dressing Winter Vacation Winter Vacation Winter Vacation Winter Vacation Winter Vacation Menus Subject to Change We try our best to serve our menus as posted;however,sometimes last minute changes occur.Please check with the cafe manager prior to the meal if you have any concerns. c '� ortwells eat . learn , live . Oe More Details: http://southwindsor,nutrisIice.com/menu/orchard-hill-school/lunch/ ,• "'%•� Layout,design&code©Nutrislice, Inc. Private and non-commercial uses permitted. This Institution is an equal opportunity provider. December 2017 Orchard Hill School Breakfast MONDAY TUESDAY WEDNESDAY THURSDAY FRIDAY Main Entrees • Mini Cinnis • Cinnamon Toast Crunch Cereal • Cheerios • Frosted Corn Flakes • Strawberry Yogurt • Syrup,Pancake,1.5 oz(43 ml) Fruit&Vegetable Bar • Assorted Chilled Fruit • Fresh Whole Fruit Milk&Condiments • 1%Lowfat Milk • Chocolate Skim Milk Strawberry Skim Milk • Milk,Skim/Nonfat,8 floz Main Entrees Main Entrees Main Entrees Main Entrees Main Entrees • Apple Frudel Crunchy Very Berry Parfait Egg&Cheese Sandwich Whole Grain Waffles Maple Burst Mini Pancakes • Cinnamon Toast Crunch Cinnamon Toast Crunch Cinnamon Toast Crunch Cinnamon Toast Crunch Cinnamon Toast Crunch Cereal Cereal Cereal Cereal Cereal • Cocoa Puffs Cereal Cocoa Puffs Cereal Cocoa Puffs Cereal Cocoa Puffs Cereal Cocoa Puffs Cereal • Frosted Corn Flakes Frosted Corn Flakes Frosted Corn Flakes Frosted Corn Flakes Frosted Corn Flakes • Strawberry Yogurt Honey Granola Vanilla Yogurt Strawberry Yogurt Strawberry Yogurt Fruit&Vegetable Bar Strawberry Yogurt Fruit&Vegetable Bar Breakfast Syrup Breakfast Syrup • Assorted Chilled Fruit Fruit&Vegetable Bar Assorted Chilled Fruit Fruit&Vegetable Bar Fruit&Vegetable Bar • Fresh Whole Fruit Fresh Whole Fruit Fresh Whole Fruit Fresh Whole Fruit Assorted Chilled Fruit Milk&Condiments Assorted Fruit Juice Milk&Condiments Assorted Fruit Juice Fresh Whole Fruit • 1%Lowfat Milk Milk&Condiments 1%Lowfat Milk Milk&Condiments Milk&Condiments • Chocolate Skim Milk 1%Lowfat Milk Chocolate Skim Milk 1%Lowfat Milk 1%Lowfat Milk • Strawberry Skim Milk Chocolate Skim Milk Strawberry Skim Milk Chocolate Skim Milk Chocolate Skim Milk • Milk,Skim/Nonfat,8 floz Strawberry Skim Milk Milk,Skim/Nonfat,8 floz Strawberry Skim Milk Strawberry Skim Milk • Cream Cheese,Neufchatel,1 Milk,Skim/Nonfat,8 floz Milk,Skim/Nonfat,8 floz Milk,Skim/Nonfat,8 floz oz Maple-Flavored Syrup Uj Main Entrees Main Entrees Main Entrees Main Entrees Main Entrees • Blueberry Muffin Blueberry Parfait with Granola Egg&Cheese Sandwich Whole Grain French Toast Mini Cinnis • Cinnamon Toast Crunch Cinnamon Toast Crunch Cinnamon Toast Crunch Sticks Cinnamon Toast Crunch Cereal Cereal Cereal Cinnamon Toast Crunch Cereal • Cheerios Cheerios Cheerios Cereal Cheerios • Frosted Corn Flakes Frosted Corn Flakes Frosted Corn Flakes Cheerios Frosted Corn Flakes • Strawberry Yogurt Honey Granola Strawberry Yogurt Frosted Corn Flakes Strawberry Yogurt • Margarine,Pride,5 g Vanilla Yogurt Fruit&Vegetable Bar Turkey Sausage Link Syrup,Pancake,1.5 oz(43 ml) Fruit&Vegetable Bar Fruit&Vegetable Bar Assorted Chilled Fruit Vanilla Yogurt Fruit&Vegetable Bar • Assorted Chilled Fruit Fresh Whole Fruit Fresh Whole Fruit Syrup,Pancake,1.5 oz(43 ml) Assorted Chilled Fruit • Fresh Whole Fruit Assorted Fruit Juice Milk&Condiments Fruit&Vegetable Bar Fresh Whole Fruit Milk&Condiments Milk&Condiments 1%Lowfat Milk Fresh Whole Fruit Milk&Condiments • 1%Lowfat Milk 1%Lowfat Milk Chocolate Skim Milk Assorted Fruit Juice 1%Lowfat Milk • Chocolate Skim Milk Chocolate Skim Milk Strawberry Skim Milk Milk&Condiments Chocolate Skim Milk • Strawberry Skim Milk Strawberry Skim Milk Milk,Skim/Nonfat,8 floz 1%Lowfat Milk Strawberry Skim Milk • Milk,Skim/Nonfat,8 floz Milk,Skim/Nonfat,8 floz Chocolate Skim Milk Milk,Skim/Nonfat,8 floz • Strawberry Skim Milk • Milk,Skim/Nonfat,8 floz W. Main Entrees Main Entrees Main Entrees Main Entrees Main Entrees • Apple Frudel Crunchy Very Berry Parfait Egg&Cheese Sandwich Whole Grain Waffles Maple Burst Mini Pancakes • Cinnamon Toast Crunch Cinnamon Toast Crunch Cinnamon Toast Crunch Cinnamon Toast Crunch Cinnamon Toast Crunch Cereal Cereal Cereal Cereal Cereal • Cocoa Puffs Cereal Cocoa Puffs Cereal Cocoa Puffs Cereal Cocoa Puffs Cereal Cocoa Puffs Cereal • Frosted Corn Flakes Frosted Corn Flakes Frosted Corn Flakes Frosted Corn Flakes Frosted Corn Flakes • Strawberry Yogurt Honey Granola Vanilla Yogurt Strawberry Yogurt Strawberry Yogurt Fruit&Vegetable Bar Strawberry Yogurt Fruit&Vegetable Bar Breakfast Syrup Breakfast Syrup Assorted Chilled Fruit Fruit&Vegetable Bar Assorted Chilled Fruit Fruit&Vegetable Bar Fruit&Vegetable Bar Fresh Whole Fruit Fresh Whole Fruit Fresh Whole Fruit Fresh Whole Fruit Assorted Chilled Fruit Milk&Condiments Assorted Fruit Juice Milk&Condiments Assorted Fruit Juice Fresh Whole Fruit • 1%Lowfat Milk Milk&Condiments 1%Lowfat Milk Milk&Condiments Milk&Condiments • Chocolate Skim Milk 1%Lowfat Milk Chocolate Skim Milk 1%Lowfat Milk 1%Lowfat Milk • Strawberry Skim Milk Chocolate Skim Milk Strawberry Skim Milk Chocolate Skim Milk Chocolate Skim Milk • Milk,Skim/Nonfat,8 floz Strawberry Skim Milk Milk,Skim/Nonfat,8 floz Strawberry Skim Milk Strawberry Skim Milk • Cream Cheese,Neufchatel,1 Milk,Skim/Nonfat,8 floz Milk,Skim/Nonfat,8 floz Milk,Skim/Nonfat,8 floz 0z Maple-Flavored Syrup Winter Vacation Winter Vacation Winter Vacation Winter Vacation Winter Vacation Menus Subject to Change We try our best to sere our menus as posted;however,sometimes last minute changes occur.Please check with the cafe manager prior to the meal if you have any concerns. chartwells eat . learn , live . More Details: http://southwindsor.nutrislice.com/menu/orchard-hill-school/breakfast/ "• Layout,design&code©Nutrislice, Inc.Private and non-commercial uses permitted T 5` This Institution is an equal opportunity provider.