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

42.❑Yes 0 No Do you intend to rescue surplus foods for donation or re-service in your establishment? Note: "Re-service"is the process of offering foods for sale again that were previously on display in a self-service buffet but were not selected or handled by customers in any way. Other conditions will apply per WAC (03372.2-3). If yes, please submit a written plan that includes the following information for further review: i. Types of foods that will be available for donation (or re-service if your facility will have a buffet or self-service station and wishes to reserve excess foods). ii. Employee training and designation for rescued food handling procedures. iii. Location of donated food storage within the establishment and methods. iv. Food Bank(s) or Donor Kitchen(s) receiving donations from your establishment. 43.❑ Yes 0 No Will there be any cooking or food preparation outside the establishment? All locations must be clearly marked on floor plans. 44.❑Yes 0 No Will any menu items include wild mushrooms? If yes, list the supplier and proposed species offered: N/A Separate submission required with $205 additional review fee: 45.❑ Yes 0 No Will you offer catering? If yes, complete the catering questionnaire. Separate submission required with $2000 review fee for each process (45-52 46.❑ Yes 0 No Will any food be smoked as a method of food preservation rather than flavor enhancement? (Used to preserve or change a food so it no longer requires refrigeration) If yes, aseparate HACCP application must be submitted for review. 47.❑Yes 0 No Will any food be cured? If yes, a separate HACCP application must be submitted for review. 48.❑Yes 0 No Will any food additives be used to preserve or change a food so it no longer needs to be refrigerated? If yes, a separate HACCP application must be submitted for review. 49.❑Yes 0 No Will a display tank be used for molluscan shellfish, such as oysters or clams? If yes, a separateHACCP application must be submitted for review. Environmental Health Division 3020 Rucker Avenue, Suite 104 0 Everett, WA 98201-3900 0 fax: 425.339.5254 0 tel: 425.339.5250