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ATTACBNENT #1 <br /> (Taken From the California Uniform Retail Food Facilities Law) <br /> This attachment is optional for the health officer. It may be useful when determining the <br /> response to item #2 in the Environmental Health Evaluation. <br /> FOOD"SERVICES"AREAS YES NO .. ?N/A. COMMENTS:. <br /> 1. Floors are smooth, in good repair and X NO FOOD PREPARED ON SITE <br /> kept clean (27611, 27631) . <br /> 2. Wall and ceilings are light, smooth, X <br /> in good repair, and clean (27611, <br /> 27632) . <br /> 3. Effective vermin control measures are X <br /> being employed (27607) . <br /> 4. Adequate lighting provided (27635) . X <br /> 5. Adequate ventilation is provided in X <br /> kitchen, toilet, and other areas <br /> (27629) . <br /> 6. There is an adequate supply of hot and X <br /> cold running water (27624) . <br /> 7. Toilet facilities are convenient, X <br /> separate from food service areas, <br /> equipped with tight, self-closing <br /> doors, and are for use of food <br /> personnel only (27626) . <br /> 8. Toilet and lavatories are clean. X <br /> Lavatories are provided with hot and <br /> cold water, soap, paper or individual <br /> towels, and signs directing personnel <br /> to wash hands before resuming work <br /> (27626, 27627) . <br /> 9. The plumbing is adequate and so X <br /> designed that it will prevent any back <br /> siphonage and had no cross connections <br /> (27625) . <br /> 10. Utensils and equipment are in good X <br /> repair, clean, and non-toxic (27611, <br /> 27623) . <br /> 11. Adequate facilities are provided for X <br /> cleaning and sanitizing all utensils <br /> (27613, 27623) . <br /> 12. Adequate, protected space is provided X <br /> for storage of all utensils and <br /> equipment. Single service items are <br /> properly stored and used only once <br /> (27623) . <br /> 13. All waste and refuse are stored and X <br /> disposed of in an acceptable manner <br /> (27608, 27609) . <br /> 14. Adequate space is provided for storage X NO FOODS PREPARED ON SITE. <br /> of food and beverages (27621) . <br /> 15. All foods and beverages are from X <br /> approved sources, are stored, <br /> transported in a sanitary manner, and <br /> protected from contamination (27603, <br /> 27606, 27621) . <br /> CURFFL.HTH RE`!.7/92 CURFFL PAGE 1 <br />