BOARD OF HEALTH

JEFFERSON COUNTY GENERAL HEAL TH DISTRICT

500 Market Street -Steubenville, Ohio 43952- Phone (740) 283-8530- Fax (740) 283-8536

Health Commissioner Administrator

Ronald C. Agresta, M.D. Bruce C. Misselwitz

TEMPORARY FOOD SERVICE

CHECKLIST

Must be submitted 14 days prior to opening

DAYS OF OPERATION _____________________________________________________________

PLACE OF OPERATION ____________________________________________________________

NAME OF OPERATION _____________________________________________________________

ADDRESS______________________________________________________________

_______________________________________________________________

OWNER_______________________________________________________________

PHONE#______________________________________________________________________

I. Plans are to be approved by the Jefferson County Health Department (OAC 3717-1-09 (E)).

II. Provide a letter of intent with the following pertinent information:

1. A drawing showing the layout of the facility.
2. A list of foods to be prepared and served.
3. Source of food.

4. Type of hot holding facilities.

5. Type of cold holding facilities. (Ice chests are unacceptable)

6. Methods of Sanitizing. (Sanitizer/Test strips as well as a three

compartment sink with hot and cold running water to each

compartment is required).

7. Handwash sink must also be provided with hot and cold running water

as well as soap and sanityar hand towels accessible to this location.

8. Equipment and utensils to be used.

9. Support facilities consisting of: Safe water supply, sewage and waste

water disposal, toilet facilities, garbage and refuse disposal.

10. Thermometers.