Download Time Only Method Application

Time as a Public Health Control Application
Denver Retail Food Establishment Regulations
Facility Name:_____________________________________________________________________________
Address:__________________________________________________________________________________
Food Product:_____________________________________________________________________________
Ingredients (including flavorings, dyes, colors, etc.):_________________________________________________
__________________________________________________________________________________________
Assembly Procedure (beginning to end) - procedure for finished product, including time frame:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Time Control Begins at:
Cooking Completion (Time when food is finished cooking; ex. pizza removed from oven)
Temperature Control Removal (Time when food is removed from temperature control, including hot-holding or refrigeration)
Room Temperature Ingredient(s) Assembly (Start of food assembly when using room temperature ingredients; ex. Tuna salad)
Food Location During Time Holding:_________________________________________________________
(How and where service to the customer is accomplished, i.e. buffet, counter, etc.)
Labeling Method:__________________________________________________________________________
(i.e. Laminated cards; sticker labels, etc.; Label must clearly indicate time when food shall be cooked, served, or discarded)
Disposal Time (Maximum 4-hour limit):__________________________________________________________
Disposal Method (i.e. garbage, compost, etc):______________________________________________________
__________________________________________________________________________________________
I agree to follow the procedures outlined in this application and understand that failure to do so may
result in a documented violation of Chapter 23, Denver Retail Food Regulations.
Signature of Operator:__________________________________ Date:______________________________
*Any changes in recipe or procedure shall be approved in advance by Denver Dept. of Environmental Health
**Management shall maintain this approved written procedure at the above location and shall provide it to the Environmental
Health Specialist upon request.
Questions or comments may be directed to Denver Dept. of Environmental Health, Public Health Inspection Division, at (720)
865-5450 or contact your Environmental Health Specialist.
(This section to be completed by the Environmental Health Specialist)
Facility ID:______________________
Procedures Approved: Yes
No
EHS Signature:_________________________________________ Date:_____________________________
Comments:________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
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