Document Salem_doc_98d72f07a9

DOMINICK PANGALLO MAYOR CITY OF SALEM, MASSACHUSETTS BOARD OF HEALTH 98 WASHINGTON STREET, 3 RD FLOOR SALEM, MA 01970 TEL. (978) 741-1800 [EMAIL REDACTED] DAVID GREENBAUM, RS, CHO HEALTH AGENT REQUEST FOR VARIANCE TO USE ACIDIFICATION AS A MEANS OF PRESERVATION OF SUSHI RICE Date: Establishment Name: Establishment Address: MA 01970 I hereby request a variance to use vinegar as a means of food preservation for Sushi Rice. Included is:  The HACCP plan.  pH Testing Method  Log Samples  Vinegar brine formulation  Certification that food handlers are trained in safe food handling practices and use of pH meter/pH testing method  Rice pH samples will be forwarded by the Lab  Two signed sushi variance forms Signature: Print Name and Title: