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HomeMy WebLinkAbout765 Sullivan Avenue (8) Temporary Event Form br,,fk Oyes Event Name: 1cj. (r C' � i;' Date: IZ11cl Event Location: }(p �L����cn �y� Time: QFO: ' Vendor Name/Organization_j&;,;�F�k;' 4 L I-C— `bSOR.,0 Food)Source&Temperature: Food from approved sources No home canned/home prepared foods Ice from potable water source Food prepared off site in approved food service facility Cold holding<45° Hot holding> 1401 Perso nel: 115 Appropriate handwashing facilites(warm water, dispenser with hands free spigot, liquid soap, 7 'w paper towels, waste water container,trash can) -)C) _njo 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 `.•.� . t. �. 1rt Y.i C <': z' Food&Utensil Storage, Handling: Dry storage of all goods, utensils, single serve items protected and not on ground _ Cold storage: units clean, have working thermometers, internal temp<450 4 Hot holding: units clean, ability to keep foods> 1400 Thermometers available and adequate; calibrated ±21, alcohol wipes Food protected from outside contaminants, sneeze guards Food prep areas protected from contamination Q Utensil storage approprate, clean Food protected from cross contamination during storage, prep, display Utensils cleaned and sanitized afer use or every 4 hours Clea in : Ware washing set up adequate to wash, rinse, sanitize �s h Sanitizer available;test strips available Wiping cloths stored in sanitizing solution Water 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) Premises: V All food contact surfaces easlily cleanable, intact Floors clean, easliy cleanable Walls and ceilings protect against contaminants i Garbages adequate, rodent proof, non-absorbant Toilet facilities adequate, clean Toxic materials properly labeled and stored - li Inspector Food Operator