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UNCLASSIFIED//LAW ENFORCEMENT SENSITIVE (WhEN COMPIEIEd) <br />Remarks <br />FOOD SERVICE <br />Sanitation Requirements <br />Has inspected by an party past to ensure that theequipmentmeets established health,, and safety protocols?sanitationCYes CNo <br />lf 'Yes', Date of lnspection <br />Were any violations identified? <br />CYes CNo <br />Have those violations been corrected? <br />CYes CNo <br />was the facility re-inspected to ensure the viorations were corrected properry?CYes CNo <br />Adequate and Varied Meals <br />Does the facility provide 3 meals per day? <br />CYes CNo <br />Does the facility provide a minimum of 2 hot meals per day?CYes CNo <br />Does the facility provide meals that are nutritionally adequate and varied, as approved by a dietitian?CYes CNo <br />Does the facility serve mears that match the approved mear menus?CYes CNo <br />Does the facili$ provide special meals for prisoner religious or medical needs?CYes CNo <br />SAFEWAND SANITATION <br />Fire Safety <br />Are annual fire safety inspections conducted by state or localfire officials?CYes CNo <br />lf Yes', Date of lnspection <br />NorlcE: This documenl is intended FoR oFFlclAL usE ONLY and may conrain LAWENFoRCEMENT sENsrflvE oR CoNFTDENTIAL informationwiich i8 for lhe sole use of lhe inlended *tipl"niiti' nnv unauthorized ,*i"*,-rr", oircrosure, <br />", oirrriu"riin'is prohibited. rf you are not the inrendedrecipienl' please conlacl the.sender and oesiroviif copi'Ls_or rris oocffii;F;"d;il iU;i;#ffi;t"rained in rhis documenr is ro be usedonly to aid ln providing healthcare seMces to nireiai ilsoners. Any orher use ii a viotation ot F"o"i"iriiFnn Llw anolor me privacy Act and wilr bereported as such. <br />uNcLAssrFrED//LAW ENFORGEMENT sENsrilVE (when compreted) <br />and <br />Form USM-218 <br />Rev. O7t21 <br />Page 15 ot 22