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j� SNUHOMISH <br />�iEALTH GISTRIC i <br />� �r.rrrwS�a{;�r�r;,c���.3 Menu Sample <br />Facility name CafeWorks at HopeWorks Station <br />Provide copies of your menus. Include all food and beverages you will serve. If the facility is a grocery store <br />serving only fruits, vegetabfes or commercially prepackaged food, a list of goods sold may be submitted in <br />place of the menu. Be sure to include specials and seasonal items. Only food and beverages listed may be <br />served. Submit copies of all breakfast, dinner, lunch, bar/lounge, happy hour, kids, catering, and online <br />menus, fresh sheets, table tops or menu boards. If a menu board will be used, provide photographs of the <br />menu showing all food and beverages listed. All menu items must be readable in photographs. <br />Menu, food preparation steps, and the mode of operation may be restricted to protect public health (WAC 426- <br />215). <br />A consumer advisory is required for all food of animal origin that is offered raw, undercooked or cooked to the <br />customer's specification. Be sure all menu items requiring a consumer advisory are clearly identified and <br />remind the patron that consuming these foods may result in foodborne illness. Consumer Advisory information <br />may be found at Washinqton State Department of Health under Code Clarifications. <br />Sample menu <br />Breakfast <br />Pancakes....................................... <br />Eggs*, hash browns, bacon, toast .. <br />Oatmeal ................................ <br />Lunch <br />Ham sandwich ...................... <br />Pho soup* ............................. <br />Rib eye steak* ...................... <br />Dinner <br />Prime rib'` .............................. <br />Shrimp pasta ........................ <br />Deluxe cheeseburger* .......... <br />Chicken salad ....................... <br />AAA #1 Drive In <br />$2.00 <br />$3.00 <br />$2.00 <br />..... $3.00 <br />..... $3.00 <br />....$10.00 <br />.............$10.00 <br />.............$10.00 <br />.............$10.00 <br />.............$10.00 <br />Salads <br />Mixed greens.......... <br />Romaine ................. <br />Caesar* .................. <br />Beverages <br />Fountain beverages <br />Large ...................... <br />Medium .................. <br />Small ...................... <br />Coffee .................... <br />Tea......................... <br />......... $3.00 <br />......... $3.00 <br />......... $3.00 <br />*These menu items are served raw, undercooked or cooked to your specification. <br />Consuming raw or undercooked food may increase your risk of foodborne illness. <br />Environmental Health Division <br />3020 Rucker Avenue, Suite 104 ■ Everett, WA 98201-3900 ■ fax: 425.339.5254 ■ tel: 425.339.5250 <br />