SHELLFISH PLANT SANITATION ITEMS CHECKLIST Company Name:____________________________________Cert. #:_______________ Company Address:____________________________________________________ ___ Date of Daily Sanitation Monitoring:___________Product Identity:_________________ Sanitation Item/Area TimeAcceptable Y or N (List value where needed) Corrective Actions Initial 8 - Safety of Water & Ice Production √ Private system testing adequate √ Cross connections/backflow devices √ Ice from approved source 9 – Condition and Cleanliness of FCS √ FCS construction √ FCS clean & sanitized prior to start-up * Document sanitizer concentration ppm 10 – Prevention of Cross Contamination √ Protection of Shellfish (General) Food Safety Program - Oregon.gov/ODA/FSD 05/2014 Page 1 of 4
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SHELLFISH PLANT SANITATION ITEMS CHECKLIST Company Name:____________________________________Cert. #:_______________Company Address:_______________________________________________________Date of Daily Sanitation Monitoring:___________Product Identity:_________________
Sanitation Item/Area Time AcceptableY or N (List value where needed)
Corrective Actions
Initials
8 - Safety of Water & Ice Production
√ Private system testing adequate
√ Cross connections/backflow devices
√ Ice from approved source9 – Condition and Cleanliness of FCS