HomeMy WebLinkAbout2016-9-3 - 150 Nevers Road - Temp Food Inspection Steve's Bagels Temporary Even�form� p�,iyH G'"�
Event Name:_�n1 �' _ Date:
Event Location: Time: /D
QFO: .S7-�V
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Vendor Name/Organization �S [, �`C�' �''�• )R-
Food Source&Temperature:
_ Food from approved sources
No home canned/home prepared foods
Ice from potable water source
Fo in approved food service facility
Cold holdi�lg�#
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
Cold storage: units clean, have working thermometers, internal temp<450
Hot holding: units clean, ability to keep foods > 140'
Thermometers available and adequate; calibrated ±20, alcohol wipes
Food protected from outside contaminants, sneeze guards
,1 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
Sanitizer available;test strips available
Wiping cloths stored in sanitizing solution
Wa r 5upply&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:
AlHood 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 proper ly labeled and stored
Inspector Food Operator
Temporary Event Form n Wa Gyre
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Event Name: °wN
L I 1-MZrrt�S /�L�it_(-.*y? Date: (1- �, <
Event Location: s )C-WL5�k_5 Time:
QFO: ,�'Y-i5 yexj
Vendor Name/Organization__!�-? �L �J xt'-0�`L_S '"NOR.<<�
Food Source &Temperature:
Food from approved sources
No home canned/home prepared foods �(o
Ice from potable water source
Food prepared offf site in approved food service facility
!/ Cold holding<451 �U
7 Hot holding > 1400
Personnel:
Appropriate handwashing facilites(warm water, dispenser with hands free spigot, liquid soap,
paper towels, waste water container,trash can)
L, No employees with communicable diseases; cut and sores covered
�L Clean outer garments, no smoking, eating or drinking in prep area
v 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
Cold storage: units clean, have working thermometers, internal temp<450
Hot holding: units clean, ability to keep foods> 1400
Thermometers available and adequate; calibrated ±20, alcohol wipes
Food protected from outside contaminants, sneeze guards
_L,.-' Food prep areas protected from contamination
Utensil storage approprate, clean =�
Food protected from cross contamination during storage, prep, display
x� Utensils cleaned and sanitized afer use or every 4 hours
Clem
Ware washing set up adequate to wash, rinse, sanitizey�'� �✓rd
Sanitizer available; test strips available
&_11 Wiping cloths stored in sanitizing solution
Water Supply&Wasteater Disposal:
Adequate supply of potable water
Backflow preventer and food grade hoses when needed
7rm e s: Wastewater disposed in approved disposal system (sanitary sewer, blueboy)
es:
___LZ All food contact surfaces easlily cleanable, intact
L,- Floors clean, easliy cleanable
li Walls and ceilings protect against contaminants
Garbages adequate, rodent proof, non-absorbant
7rZToilet facilities adequate, clean
�C Toxi aterials properly labeled and stored
Inspector — Food Operator
FII=ENUMBER-. -
P'ROGRESS FILE NAME:
NOTES ADDRESS: -
TOWN:
DATE TIME ACTION INITIALS DATE
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