HomeMy WebLinkAbout2019-1-26 - 1175 Ellington Road - Temporary Food Inspection Temporary Event Form Ou}K
Event Name:�',i(���y ��11(�t4 cgs Date: Zlei
Event Location: Frr hai ___ Time: O
QFO: D--by ,h SMo:n'
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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
Cold holding<46'Ct--a\.'% `io'F- i Cr<< 3-"F—
Hot holding> 1400 0-VV c �� Z`�c On
Pers nnel:
Appropriate handwashing facilites (warm water, dispenser with hands free spigot,
liquid soap, paper towels, waste water container,trash can) I,1y
No employees with communicable diseases; cut and sores covered CrYytXj2i2,
Clean outer garments, no smoking, eating or drinking in prep area
Handwashing at appropriate times
Minimize bare hand contact S��`y`�. U`Y— CotiUrCj
FoodV& 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<450
Hot holding: units clean, ability to keep foods > VZO SA-C-6r`Ll S I h C\CIa-Q'
Thermometers availabe and adequate; calibrated ±2°, alcohol wipes (At e'4 -WA--
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 Ekkyz— u�S\lS
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)
Premi es•
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
,L59wctor Fo ervice Operator