2831 W MARINE VIEW DR REVIVE BOWLS 2025-12-02

21.❑Yes El No Will any food of animal origin be undercooked at the customer's request, such as steaks, eggs, or hamburger? If yes, list your proposed consumer advisory statement: N/A 22. ❑Yes 0 No Will any fresh, unfrozen fish be offered by customer request as partially cooked? If yes, list your separate consumer advisory for parasite risk: N/A 23. ❑Yes ❑No ON/A If fish or seafood will be served raw or undercooked, is proper parasite destruction documentation submitted? 24. ❑Yes 0 No If raw meat, poultry, or seafood will be prepared, a second indirectly drained food preparation sink with an integral drainboard is required. Is one included on the current floor plan? 25.How will you protect food and food contact surfaces in your kitchen from possible sources of contamination(i.e., dirty water, cross-contamination, etc.)? Check all that apply ❑Splash guards 0 Physical separation ❑Other: All sinks will have physical seperation away from any food prep areas. 26.DYes ❑No Are soap and paper towel dispensers installed where water droplets from handwashing/drying will not contaminate any food or food contact surfaces? 27. DYes ❑No Is your handwash sink(s) at least 8"x8" and large enough to fit both hands at the same time? 28. F.-,]Yes ❑No Is the mop sink located so food and equipment are not contaminated when used? 29. DYes ❑No Will a faucet with a hose attachment or a chemical dispensing system be installed at the mop sink? 0 Yes ❑No If yes, Does the mop sink have a vacuum breaker installed? 30.DYes ❑No Is your facility currently connected to a public fresh water supply? 31. Please indicate which type of wastewater connection is available at your facility: 0 Public sewer system ❑Approved Septic System Environmental Health Division 3020 Rucker Avenue,Suite 104 0 Everett, WA 98201-3900 0 fax: 425.339.5254 0 tel:425.339.5250