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<br />l~] ST^T~ OF FLORID^ <br />DEPART\1E..'..'T OF HEAUl-1 AND R~ABllJrATIYE SERVICES <br /> <br />rASCO COtJNTY IIF.A:,TII Df"'~R'NFWr - ale Ea'" "e"'dl~~ ^venue.- Dade C1ty, Florida 33525 <br />1-800-226-~2)~ extensior 4229 or (904) 521.4229 <br /> <br />rooD SERVICE PLAN Rr.vrf:W CHECKLIST <br />l'OR I '1CW. 0 13~ L l <br />ADDRESS I ~-ph2(h(I!~ Fl. <br />AS PER APPLICATrON ATED: <br /> <br />1'1'1 1 of 4 <br /> <br />....e h~ve revieved the Au~",itted pInnA nn ro~urnted, ItemA lMrked in Column 1 do not <br />~pply to tne propoAed OPorAt ion, Ite"'" mnrkrd In Col\lnm 2 nre AntiACactory on thl <br />pInnA ~A Aubmitted, Tte"'A mnrked in Col\lmn 1 nfP. not "reciflcnlly de.lgn.ted on <br />pl~nAI bllt "'VAt bt Included, Ittm" mnrr.ed in Column ~ nre in conClict \lith code <br />rtQulremcntA And ~Int b. chnn~~d prior to hr~lnnin~ corntruction, ,Please .ub~1t <br />\IT(tten plftn oC corr.rtive Action to thlR drpnrtment prior to beg(nnlng eon.true- <br />tion. Any ite~e mftrked ~ltn 8n aeterlRk (.) hnve additionAl co~ent. 111tld on <br />att.ched p.ge(s), <br /> <br />1 <br /> <br />z <br /> <br />3 <br /> <br />4 <br /> <br />POOD BOUCTION <br /> <br />~~ ~E ~iE ~Ig <br />~i !i las a .. <br />f ~ ~e~. ! <br />~ H ~s~ ia <br />~ US <br /> <br /> <br />. <br /> <br />Adequ.te reCrigerat(on provided (or storage o( (ood supplies <br />Adequate (rte~ere provided <br />Adequate cooking equip~ent <br />Adequ.te equiplllent Cor holding cold prepared CoodA <br /> - <br />Adequate equipment (or holding hot prepared (oodA <br /> <br />j,./ <br /> <br />L./ <br /> <br />v <br /> <br />ThermQm,tere provided (or all coolers, (ree~ers and hot-holding <br />equlpllent <br /> <br />V' <br /> <br />StoraSI !.elI1t1el provided (or Coode end dry goods <br /> <br />L.....- <br /> <br />Snee:e;u.rds provided in .11 areAS vhere customers Reprosch (ooda <br /> <br />~ <br /> <br />Automatle ice dispeneers prOvided iC customers serve the~eelves <br /> <br />Runnlns vater dipper vell'provided <br /> <br />EQUIPMENT A~P UrE~SILS <br /> <br />Equlp~ent snd ~ork aress conntruc:ed or R~ooth and cAslly clennable <br />materi.l. <br /> <br />v <br /> <br />Equlp.ent .ealed to vall or eAsily mOVAble <br /> <br />l'ixturu and equip~ent sealed to Cloor or It leont 6" off Cloor <br /> <br />v <br />V-- <br /> <br />rood prep sink required <br /> <br />v <br />V <br /> <br />Adequlte york are. (or type or menu propoaed <br />