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Environmental Health

1203 Maple St., GSO 27405

(336) 641-3771

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03/25/2026Click to Sign
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Catering
Commissary
Multi use Utensils
Single Service
Sit down Meals
Take out
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Smoking
Fermentation
Reduced Oxygen Packaging e g vacuum sealing
Curing
Sprouting
Acidification sushi etc
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Gas
Electric
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Raw Poultry
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Sushi
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NO
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Disposable Only
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YES
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Silverware
Chlorine
Plates
Glassware
HotWater_1
Other describe_1
Iodine
Quaternary Ammonium
Seafood
Raw Meat
Produce
Ready to Eat
HotWater
Chemical
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Dishwasher
Single Service
Signature HereClick to Sign
03/25/2026Click to Sign
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Additional Signatures Required

Equipment Specification Sheets Click Here to Upload
Architectural Plan (if needed) Click Here to Upload
Employee Health Policy Click Here to Upload
Additional Documentation Click Here to Upload
Hot Water Health Manufacturer's Specification Sheet Click Here to Upload