Title Page
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Conducted on
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Prepared by
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Location
Temperatures
Center Line
Yellow Folded Egg
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Temperature
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Timer Set
Egg White
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Temperature
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Timer Set
Scrambled Egg
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Temperature
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Timer Set
Sausage
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Temperature
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Timer Set
Grilled Breakfast Fillets
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Temperature
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Timer Set
Nuggets
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Temperature
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Timer Set
Breakfast Fillets
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Temperature
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Timer Set
Spicy Breakfast Fillets
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Temperature
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Timer Set
Egg White Uncooked
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Temperature
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Yellow Egg Uncooked
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Temperature
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Primary Side Cheese
Secondary Side Cheese
Primary Sanitizer
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Strength (150ppm-400ppm)
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Secondary Sanitizer
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Strength (150ppm-400ppm)
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Breading Area
Milk Wash
Temperature of Breakfast Fillets
Temperature of Chicken Inside of Breading Table
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Is chicken labeled ?
Temperature of Thaw Cabinet 1
Temperature of Thaw Cabinet 2
Temperature of Thaw Cabinet 3
Temperature of Thaw Cabinet 4
Temperature of Breading Table 1
Temperature of Breading Table 2
Breading Sanitizer
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Strength (150ppm-400ppm)
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Walk-In/Freezer
Walk-In
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Temperature
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Items more than 6in off of the ground?
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Items placed in correct spots?
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Items properly labeled?
Freezer
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Temperature
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Items more than 6in off the ground?
Prep Table/Front of House
Prep Table
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Temperature
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Prep Items in table labeled?
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Produce Wash Strips Present ?
Front of House
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Temperature of Parfait
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Lane 1 Sanitizer Strength (150ppm-400ppm)
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Lane 2 Sanitizer Strength (150ppm-400ppm)
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Lane 1 Ice Machine
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Door Rails Mold Free
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Door Mold Free
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Inside (ceiling) Mold Free
Lane 2 Ice Machine
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Door Rails Mold Free
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Door Mold Free
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Inside(ceiling) Mold Free
Dumpster
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Free of Debris
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Lid Closed