HomeMy WebLinkAbout765 Sullivan Avenue (9) Temporary Event Form a d'
1 OWN SEA '
Event Name: U\ Date: I I Z 1l
Event Location: 07 0 6L Time:
QFO:
Vendor Name/Organization .So .01
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<450
Hot holding> 1400
Personnel:
^ Appropriate handwashing facilites(warm water,dispenser with hands free spigot, 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
Handwashing at appropriate times
Minimize bare hand contact
Food&Utensil Storage,Handling:
Dry storage of all goods,utensils, single serve items protected and not on ground
L Cold storage: units clean, have working thermometers, internal temp<450
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
Utensil storage approprate,clean
I_ Food protected from cross contamination during storage, prep,display
Utensils cleaned and sanitized afer use or every 4 hours
Cleanina:
Ware washing set up adequate to wash, rinse,sanitize
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:
All food contact surfaces easlily cleanable, intact
Floors clean,easliy cleanable
Walls and ceilings protect against contaminants
Garbages adequate, rodent proof, non-absorbant
Toilet facilities adequate,clean
Toxic materials properly labeled and stored
Inspector Food Operator