HomeMy WebLinkAbout765 Sullivan Avenue (11) Temporary Event Form nbu,w N0"'
Event Name: ��t_�?b, to h'trL :r�A�c�r Date:--'- 9`4<
Event Location: " l Time: it Z
Foo 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
Cold holding<A° :"Lll
Hot holding > 8-°
Perso n�el:
Appropriate handwashing facilites (warm water, dispenser with hands free spigot, ,
liquid soap, paper towels,waste water container, trash can) `' -r.--, `,�•\� �� '�� K"
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 1e%—N_'1 VL ���c,� c�<<; �'S
Food& Utensil Storage, Handling:
Dry storage of all goods, utensils, single serve items proteceted and not�oI ground
Cold storage: units clean, have working thermomAeeWrs, internal temp < °
Hot holding: units clean, ability to keep foods >f46°
Thermometers availabe and adequate; calibrated ±20, 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
Clea n :
Ware washing set up adequate to wash, rinse, sanitize L c x er-j2s`:
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Sanitizer available; test strips available C1L ;t 61-
Wiping cloths stored in sanitizing solution
Water SuPPIv&Wasteater Disposal:
Adequate supply of potable water
Backflow preventer and food grade hoses when needed
Wastewater disposed in approved disposal system (sanitary sewer, blueboy)
Prem' es:
V 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 ;` 17
Toxic materials properly labeled and stored / l
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Jxi's ector Food Service Operator