Free fda-2589.xft - Federal

DEPARTMENT OF HEALTH AND HUMAN SERVICES FOOD AND DRUG ADMINISTRATION NOTE:

INSPECTION SUMMARY BUS SERVICE AREA SANITATION

The items marked below identify deficiencies in operations or facilities which must be corrected within a reasonable time period or by such date as may be specified by the regulatory authority. Failure to comply with any time limits for correction specified in reference to this notice may result in cessation of acceptability or your operations, service or product for use on or by interstate conveyances. ESTABLISHMENT NAME INSPECTION DATE FEI NO.

OWNER/OPERATOR AND ADDRESS

CLASSIFICATION RECOMMENDED (Check One) APPROVED PROVISIONAL (Expiration Date REPORT PREPARED BY (Name and Title)

)

NOT APPROVED

DEFICIENCIES ARE INDICATED BY AN "X'', NOT OBSERVED BY AN "N", SATISFACTORY BY A "S". POTABLE WATER 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Water Piping System Acceptable No Cross Connections* No Back Flow Connections* Adequate Pressure Hydrants Acceptable Location Satisfactory, Acceptable Type in Good Repair Hose Bib Protected* Proper Drainage Water Hose Acceptable Satisfactory Material, Smooth and Quick Type Coupling, Where Required Satisfactory Nozzle Guard, Different Size or Shape From Waste Connection Hose Protected, Stored and Handled Properly WASTE DISPOSAL Refuse Disposal Satisfactory Handled Properly, No Spillage Satisfactory Containers, Covered and Emptied Frequently Containers Clean in Good Repair Toilet/Waste Disposal Satisfactory Sewage Properly Removed* Facilities Separate From Food/Bevarage Servicing Areas Smooth, Impervious Floors, Sloped to Drain Clean, Good Repair Floor Hopper Acceptable Flushing/Replenishment of Toilet System Acceptable Separate Hose Provided Hose Connection Different From Size/Shape of PW Connections* No Direct Connection to PW Distribution System* 27 28 29 30 31 32 EMPLOYEES FACILITIES Adequate, Convenient Toilets, Locker Rooms and Washrooms Clean, Good Repair Handwashing Facilities Acceptable Handwashing Sign Posted Soap, Towels and Adequate Water Drinking Water, If Provided, of Safe Quality, Properly Dispensed and No Common Cups* OTHER 33 34 35 36 EPA Acceptable Water Supply, As Required* Conveyance Water Operations and Procedures Acceptable* Conveyance Waste Removal Operations and Procedures Acceptable* Other Critical Areas*

37 Other Non-Critical Areas OTHER COMPANIES SERVICED:

26 REMARKS

*CRITICAL Items Requiring Immediate Attention FORM FDA 2589 (8/01)
PREVIOUS EDITION IS OBSOLETE.
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