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43.DYes 0 No Will any fish or seafood be served raw or undercooked?If yes, list: <br /> 44. U Yes ■ No U N/A If fish or seafood will be served raw or undercooked, is proper parasite <br /> destruction documentation submitted? <br /> 45.U Yes * No Will any menu items include wild mushrooms?if yes,the wild mushroom questionnaire <br /> must be completed. <br /> 46. 0 Yes • No Will any food be smoked as a method of food preservation rather than flavor <br /> enhancement? (Used to preserve or change a food so it no longer requires refrigeration)If yes,you <br /> must submit the food preparation steps for all the smoked foods along with laboratory documentation of <br /> shelf stability for each food item. <br /> 47. Ca Yes • No Will any food be cured?If yes,the food preparation steps for all the cured foods must be <br /> submitted. <br /> 48,U Yes • No Will any food additives beused to preserve or change a food so it no longer needs to be <br /> refrigerated? If yes,the food preparation steps for all these foods along with laboratory documentation of <br /> shelf stability must be submitted for each food item. <br /> 49.0 Yes ■ No Will a display tank be used for molluscan shellfish, such as oysters or dams? If yes, <br /> submit additional information as noted in the Molluscan Shellfish Tank questionnaire. <br /> 50. 1:3 Yes ■ No Will custom processing of animals be offered for a customer's personal use as food (i.e. <br /> deer)and not for sale or service in a food establishment?If yes, submit the food preparation steps <br /> including how custom processed foods will be kept separated from all other foods during receiving, <br /> processing, storage and handling. <br /> 51. U Yes ■ No Will any food be grown specifically for sale or service in the food establishment such as <br /> sprouts?If yes,the growing and food preparation steps for all these food items must be submitted. <br /> 52. U Yes ■ No Will any food be vacuum packaged or reduced oxygen packaged? If yes,submit <br /> additional information as noted in the Vacuum Packaging-Reduced Oxygen Packaging questionnaire. <br /> 53. 0 Yes ■ No Will any food be cook-chill or sous vide? If yes,submit additional information as noted in <br /> the cook-chill or sous vide questionnaire. <br /> If you answered yes to questions 44-51, include the proper food preparation process descriptions and <br /> variance request. <br /> Environmental Health Division / <br /> 3020 Rucker Avenue,Suite 104■ Everett,WA 98201-3900 si fox:425.339.52541 tel:425,339.5250 (�P <br />