1513 23RD ST 2019-08-08 - Laserfiche WebLink

27. 0 Yes CINo Is at least f separation or proper barriers provic=Detween all produce preparation sinks and raw meat, poulti-frdnd or seafood? 28. 0 Yes CI No Are 16" high splash guards installed between all sinks that are less than 16" apart? 29.0 Yes D No Are soap and paper towel dispensers installed inside the splash guard area at all handwash sink locations? 30.CI Yes D No Are all handwash sink basins at least 10" long by 10"wide and 5" deep? (Required) 31.DYes ONo Do you have a designated mop sink? (Required) 32.DYes 0 No Is the mop sink located so food and equipment are not contaminated when used? 33.DYes 0 No Does the mop sink have a vacuum breaker installed? 34.DYes 0 No Will a chemical dispensing system be installed at the mop sink? • 35.DYes ON° 0 N/A If a soda fountain system is used, is a reduced pressure backflow assembly (RPBA) installed and tested? 36.DYes CI No 0 N/A If a soda fountain system is used, are all pipes and fittings used downstream of the reduced pressure backflow assembly (RPBA) non-corrodible? (copper or brass are prohibited) 37. 0 Yes ONo Is all equipment commercial grade, NSF certified or equivalent? (Required) 38.DYes 0 No Will any food be stored or prepared at another location? If yes, list name and address where food will be stored or prepared: 39. DYes 0 No Will any food be cooked or hot held unattended (i.e. overnight or more than 2 hours of unattended cooking)? If yes, the questionnaire for cooked or unattended food must be completed. 40. DYes 0 No Will there be any cooking or food preparation outside the establishment?All locations must be clearly marked on floor plans. 41.DYes 01 No Will any food of animal origin be undercooked at the customer's request, such as steaks, eggs, or hamburger? If yes, list: 42.DYes 0 No Will any fish or seafood be served raw or undercooked? If yes, list: Environmental Health Division /b