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14.id Yes U No Is all lighting above food preparation, storage and service areas shatterproof or covered? <br /> (Required) <br /> 15.1:111 Yes U No Vllill any food be self-service? If yes, list foods and how you will prevent contamination: <br /> ONLY TEA / WATER <br /> 16. ■ Yes U No Are all food and single-service items protected from customer contamination by a sneeze <br /> guard?This includes self-service condiment bars, salad bars, buffet lines, espresso counters and all <br /> other food preparation areas. <br /> 17.• Yes U No Are handwash sinks located at all cook lines, food preparation and service areas, and <br /> dishwashing areas? <br /> 18. 5 Yes U No Is a 3-compartment sink with attached drainboards on both sid provided?(Required) <br /> 19. In Yes U No Is each basin of the 3-compartment sink large enough to submerge and wash all <br /> equipment? <br /> 20.■Yes U No Do all sinks,including 3-compartment sinks,and food preparation sinks have basins with <br /> rounded corners?(Required) <br /> 21.■Yes U No Can you completely fill two compartments of the 3-compartment sink with hot water and <br /> provide hot water at all handwash sinks without the temperature dropping below 100°F?(Required) <br /> 22.■Yes U No U N/A Are indirect drains(Le. air gap)provided for all food preparation sinks, <br /> dishwashers, ice machines, sada dispensers, steam tables,woks,dipper wells, espresso machines, <br /> beer tap drip trays,walk-in refrigeration/freezers, and all equipment in which food or food contact <br /> equipment is placed?(Buckets are not allowed) <br /> 23.l•Yes U No Does your menu include fresh fruit and vegetable items, such as lemons, limes,onions, <br /> tomatoes, potatoes, lettuce or berries? <br /> 24.lid Yes U No U N/A If your menu includes fresh fruit and vegetable items, is an indirectly drained food <br /> preparation sink with an integral drainboard provided? (Required) <br /> 25. Yes Cl No Will you prepare, rinse or thaw under running water, raw meat, poultry,and or seafood? <br /> If yes, list: <br /> CHICKEN AND SHRIMP <br /> 26.0 Yes U No U N/A If raw meat,poultry, or seafood are prepared, rinsed or thawed under running <br /> water, is a second indirectly drained food preparation sink with an integral drainboard provided? <br /> (Required. Sinks with multiple compartments may not be used for both produce and raw meat prep.) <br /> Environmental Health Division <br /> 3020 Rucker Avenue,Suite 104■ Everett, WA 98201-3900 1111 fax:425.339.5254■tel,425.339.5250 <br />