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APPLICATION PACKET FOR RETAIL FOOD FACILITIES

1 PA DEPARTMENT OF AGRICULTURE BUREAU OF FOOD SAFETY AND LABORATORY SERVICES 2301 N CAMERON STREET HARRISBURG PA 17110 717-787-4315 APPLICATION PACKET FOR RETAIL FOOD FACILITIES Any facility selling or serving food to the end consumer CONTENTS: Cover Letter & Mailing Addresses .. Page 2 APPLICATION for RETAIL Food License ..Pages 3 - 9 (Required) APPLICATION Instructions ..Pages 10 - 14 Guidelines-Preparation of Floor Plans and 15-17 Sample Charts and 18 19 General Food Safety 20 HACCP for Specialized 21 2 Pennsylvania Department of Agriculture Bureau of Food Safety and Laboratory Services 717-787-4315 Dear RETAIL Food Facility Applicant: Enclosed are the necessary forms and applications for obtaining a license from the Pennsylvania Department of Agriculture. Please note that according to The RETAIL Food Facility Safety Act of 2010 (3 5701 5714), "..it shall be unlawful for any proprietor to conduct or operate a RETAIL food facility without first obtaining a license for each RETAIL food " The enclosed material must be fully completed, returned with all necessary accompanying documentation, and reviewed by the appropriate Food Sanitarian and/or Food Sanitarian Supervisor with the Bureau of Food Safety & Laboratory Services prior to work begun in construction, remodeling, alteration of a facility, change in type of

05.2016 5 section 4: facility floor plan & equipment schedule all “new licenses”, as described in section 1b, must complete this section. if a “change of ownership”, as described in section 1b, skip this section and move to section 5. if a “remodel” only, as described in section 1b, sign, attach remodel plans* and move to section 5. all “new facilities” as described in section ...

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