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School Name:
School Nutrition Director:
Milk Supplier *:
*Required field
District Name:   County:   School Address:   City:  State:  Zip Code: 



PLEASE TELL US WHAT KIND OF MILK YOUR SCHOOL SERVES. CHECK ALL THAT APPLY:


  • A. White
  • B. Chocolate
  • C. Strawberry
  • D. Other Flavor :
  •   Fat Free
  •   Fat Free
  •   Fat Free
  •   Fat Free

  •   1% Lowfat
  •   1% Lowfat
  •   1% Lowfat
  •   1% Lowfat
  Container *: Plastic Cartons Other


1.   PROCEDURE:


Please test the milk you serve for ONE DAY during meal service. Measure the temperature of one new container of milk at the beginning, halfway through and end of meal service. Take milk from a variety of different locations in the cooler. Please provide temperatures in Fahrenheit. *All measurements will be rounded to whole numbers.



2.   MILK TEMPERATURE INFORMATION:


  • • Milk Temperature at the beginning of meal service
  • • Milk Temperature halfway through meal service
  • • Milk Temperature at the end of meal service

  • MILK CONTAINER #1 *

  • MILK CONTAINER #2



3.   MILK COOLER INFORMATION:


  • • Milk Cooler Temperature

  • COOLER #1

  • COOLER #2



UPON COMPLETION OF THE ABOVE TESTING WERE ANY OF YOUR ABOVE TEMPERATURE READINGS OVER 40° F ?


    YES        NO

UPON COMPLETION OF THE ABOVE TESTING WERE ANY OF YOUR ABOVE TEMPERATURE READINGS UNDER 35° F ?


    YES        NO

• If the answers are NO please submit your completed data.
• If either answer is YES please complete item numbers 4 - 6 of this survey following the instructions to re-test your milk then please submit your data.


You indicated that your milk temperatures were over 40° F please complete item numbers 4 - 6 following the instructions below to re-test your milk ONLY for those answers that were over 40° F, then please submit your data.


4a.   WHAT IS THE MOST LIKELY REASON THE MILK TEMPERATURES WERE OVER 40° F?

*Required information

  • SELECT ONE OR MORE ANSWERS: *
  •  A. Milk Cooler Overloaded
  •  B. Milk Cooler not functioning properly - gaskets need replacing
  •  C. Left lid open during entire lunch period or between periods
  •  D. Temperatures were NOT over 40°F
  •  D.  Other, Please Specify:  


4b.   WHAT IS THE MOST LIKELY REASON THE MILK TEMPERATURES WERE UNDER 35° F?

*Required information

  • SELECT ONE OR MORE ANSWERS: *
  •  A. Milk Cooler not functioning properly - freezing
  •  B.  Other, Please Specify:  
  •  C. N/A


5.   WHAT DID YOU DO TO CORRECT THE PROBLEM? *




6.   AFTER CORRECTIVE MEASURES ARE TAKEN, PLEASE RETEST THE MILK TEMPERATURE BY REPEATING THE TEST PROCEDURE.



  • • Milk Temperature at the beginning of meal service
  • • Milk Temperature halfway through meal service
  • • Milk Temperature at the end of meal service
  • • Milk Cooler Temperature

  • MILK CONTAINER #1 *

  • MILK CONTAINER #2



PLEASE COMPLETE ALL REQUIRED FIELDS

FINISH AND COME BACK LATER

PLEASE REVIEW DATA FOR CORRECTNESS

THANK YOU FOR PARTICIPATING IN THE STRIVE FOR 35° CAMPAIGN!


WOULD YOU LIKE TO ENTER DATA FOR A DIFFERENT SCHOOL OR EDIT DATA FOR THE CURRENT SCHOOL?