nner onl may L ws ‘ wr . foe ACS6 = aaycedar b | petthe S| atid , ~ ee "4 *" BO EVALUATED ITEMS ee re ge t FOOD HANDLERS: - wore ty A. HZALT™“ CERTIFICATES B. PE SONAL HYGIENE ~ NON: COM: PLIANCE | foe - at Seeds et EVALUATED ri‘ITEMS ary rs : - B, * - EXAMINATION BY SUPERVISORS D. FROZEN FOOD A. DESIGN AND CONSTRUCTION G. O'TSHES AND VTENSILS B. VENTILATION H. HANDLING PROCEDURES c. FLOORS , 6. G HAND WASHING FACILITIES 1, OUTSIDE AREA LATRINE(S} FOOD WATER/ICE . thas & > fore FOODS PRE-WASH . . Chernical) E. LARGE EQuIPMENT (Pots, Pans, etc.) F. AIRCRAFT WATER AND COFFEE CONTAINERS G. STORAGE TECHNIQUE A. Ate c. Rinse (Temperature) Yo ff RAT B. ° * D. SANITIZING (Tempera: tre or FROM APPROVED SOURCES A. RECTED a. WASH (Temperature) H. MOP AND BROOM RACK J. cOR- WASHING AND SANITIZING A. F. UTENSIL STORAGE DATE CcOM- PLIANCE] 7 LEFT-OVER INSECT AND RODENT CONTROL 4 GREEN VEGETABLES F. PREPARATION SURFACES ot €. SANDWICHES E. E. NON. ; POTENTIALLY HAZARDOUS FOODS FACILITIES AND EQUIPMENT D. UAwa A. SERVING LINE (Tempereture) «-. ° TIME Moe! 16" | DBV0" 5. PREPARATION TECHNIQUE - a re] . es “3 Hel: anes COR: RECTEO -, 4 Cc. TRAINING CERTIFICATES DD. * DATE Ca EVALUATEO me t . BUILOING/AIRCRAI T NO. ve OTHER FOOD CONTACT SURFACES H. VENDING MACHINES “ REFRIGERATORS B. FREEZERS Cc. VEGETABLES 7. A. BD. BREAD AND BAKERY PRODUCTS 8. GREASE INTERCEPTORS E. MILK DISPENSERS Cc. F. DRY STORAGE : G. NON-FOOD &. H. CLEAN EQUIPMENT — I, VENDING MACHINES FACILITY CL. EANLINESS GARBAGE ST ANDS/DUMPSTERS > . AIRCRAFT REFUSE HANDLING - OTHER “oe ‘ ' ' =EMARKS AND RECOMMENDATIONS{Use reverse, if necessary) . set BatAt oli. be. Hn 75 ESFayesig TA A) t PSATISFACTORY UNSATISFACTORY: ‘GNATURE OF FOOD FACILITY REPRESENTATI “ \F O Z$RtUGS EI hoc RM yY7s 977 PREVIOUS EDITIONS ARE OBSOLETE. + SIGNATURE OF EVALUATOR R. baOD sc USAF Y BEST AVAILABLE COP we ee ee Ode