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Phone

Home Office

477 N. Lindbergh, Suite 310

St. Louis, Missouri 63141

Complete the form below  for your facility.

  • You may receive an email to clarify your request if there are further questions.

 

Kitchen Sanitation Form

MM slash DD slash YYYY
Total points/Possible points = Percentage
A: Storeroom Areas(Required)
Check the box if points are awarded.
B: Refrigerated Storage(Required)
Check the box if points are awarded.
C: Frozen Storage(Required)
Check the box if points are awarded.
D: Ware-Washing Areas(Required)
Check the box if points are awarded.
E: Personal Hygiene(Required)
Check the box if points are awarded.
F: Dining Room(Required)
Check the box if points are awarded.
G: Service Checks(Required)
Check the box if points are awarded.
H: Food Preparation Area(Required)
Check the box if points are awarded.
I: Tray Assembly & Tray Carts(Required)
Check the box if points are awarded.
J: Miscellaneous Areas(Required)
Check the box if points are awarded.
K: Emergency Procedures(Required)
Check the box if points are awarded.
L: Food handling(Required)
Check the box if points are awarded.
M: Equipment(Required)
Check the box if points are awarded.
This field is for validation purposes and should be left unchanged.