HomeMy WebLinkAbout765 Sullivan Avenue (7) Temporary Event Form WK 6'r,�
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Event Name: �1 V ��:` 5�v Date: s :. !`
Event Location: Time: �p
QFO:
Food Source&Temperature:
Food from approved sources C"f
No home canned/home prepared foods
Ice from potable water source
Food prepared offf site in approved food service facility
I�11 W Cold holding<45'
..31 R Hot holding> 140'
Personnel:
Appropriate handwashing facilites (warm water, dispenser with hands free spigot,
J liquid soap, paper towels, waste water container,trash can)
No employees with communicable diseases; cut and sores covered
Clean outer garments, no smoking, eating or drinking in prep area
V Handwashing at appropriate times
Minimize bare hand contact
Food jk Utensil Storage, Handling:
Dry storage of all goods, utensils, single serve items proteceted and not on ground
Cold storage: units clean, have working thermometers, internal temp<45'
Hot holding: units clean, ability to keep foods > 1401
Thermometers availabe and adequate; calibrated ±2°, alcohol wipes
Food protected from outside contaminants, sneeze guards
Food prep areas protected from contamination
Utensil storage approprate, clean
Food protected from cross contamination during storage, prep, display
Utensils cleaned and sanitized afer use or every 4 hours
Cle l� Ware washing set up adequate to wash, rinse, sanitize
Sanitizer available; test strips available J
Wiping cloths stored in sanitizing solution
WatO Supply&Wasteater Disposal:
Adequate supply of potable water
Backflow preventer and food grade hoses when needed
Wastewater disposed in approved disposal system (sanitary sewer, blueboy)
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Premises:
All food contact surfaces easlily cleanable, intact ,
Floors clean, easliy cleanable
Walls and ceilings protect against contaminants
Garbages adequate, rodent proof, non-absorban �`�', fZ
Toilet facilities adequate, clean
Toxic materials properly labeled and stored
Inspect - Fo d Ser c� perator
Temporary Event Form u�a 6K'
c1 0 ow„ SE4
Event Name: - ��I, Date: (Z 1i l
�
Event Location: �� Time: �p
QFO:
Food/Source&Temperature:
Food from approved sources
No home canned/home prepared foods
Ice from potable water source
Food prepared offf site in approved food service facility
SJ Cold holding<45'
Hot holding> 1400
Per onnel:
Appropriate handwashing facilites (warm water, dispenser with hands free spigot,
liquid soap, paper towels, waste water container, trash can) Co Am-
J No employees with communicable diseases; cut and sores covered
Clean outer garments, no smoking, eating or drinking in prep area
Handwashing at appropriate times
Minimize bare hand contact
Food& Utensil Storage, Handling:
_Iff Dry storage of all goods, utensils, single serve items proteceted and not on ground
Cold storage: units clean, have working thermometers, internal temp<451
Hot holding: units clean, ability to keep foods > 1401
Thermometers availabe and adequate; calibrated ±2°, alcohol wipes
J Food protected from outside contaminants, sneeze guards
Food prep areas protected from contamination
Utensil storage approprate, clean
Food protected from cross contamination during storage, prep, display
Utensils cleaned and sanitized afer use or every 4 hours
Cleaning:
Ware washing set up adequate to wash, rinse, sanitize CQ r�\V--" ss,�
Sanitizer available; test strips available I01� �,
Wiping cloths stored in sanitizing solution
Water Supply&Wasteater Disposal:
Adequate supply of potable water
Backflow preventer and food grade hoses when needed
—4/ Wastewater disposed in approved disposal system (sanitary sewer, blueboy)
Premises:
All food contact surfaces easlily cleanable, intact
Floors clean, easliy cleanable
Walls and ceilings protect against contaminants
LI Garbages adequate, rodent proof, non-absorbant
Toilet facilities adequate, clean
Toxic materials properly labeled and stored
jnsp&f`cr Food Service Operator