HomeMy WebLinkAboutMt Zion Baptist Church 220004 10 03 16.GK.PDF
Revised 02/2015
INSPECTION OF APPROVED SUMMER FOOD SERVICE PROGRAM SITES
Health Department Date of Inspection
Name of Site Name of Site Preparing Food
Street Address Street Address
City State Zip City State Zip
If “NO” is checked, indicate the nature of the problem in the comments section
FOOD PROTECTION
Yes No N/A
Food from approved source(s)
Potentially hazardous food/Time Control for Safety food meets time/ temperature requirements at delivery and
service
Hot and cold holding equipment adequate
WASTE DISPOSAL
Garbage containers available, tight-fitting lids, clean, used
Garbage disposed of properly, no nuisances
PEST CONTROL
Insects, rodents and other pests absent
Comments:
Corrective Action:
Inspection Conducted by:
Catawba
Mt.Zion Baptist
416 2nd Ave NE
Hickory NC 28601
7-6-15
Maiden High School
600 W Main Street
Maiden NC 28658
x
x
x
x
x
x
Greg Kain REHS