Organic System Plan – Class OR (Retail) Organic ... - Oregon Tilth

Retail Application
SECTION 7: Water usage
1. Check the manner in which water is used in the retail store:
Misting organic product in display areas
Cleaning equipment
Cooling organic product in display areas
Cleaning facility
Cooling organic product in preparation
Other (specify):
Cooling organic product in storage
Other (specify):
Washing organic product
Other (specify):
Ingredient in prepared foods
Cooking organic products
2. A water test is recommended for all water that comes into direct contact with organic products (not water
used for sanitation purposes). If you checked any boxes in the left column above, a water test is
recommended. If you use municipal water, obtain a copy of a current water test and attach a copy with the
Organic Handling System Plan in this section. Attach label information on any water additives the retail store
uses.
3. What is your source of water Municipal system On-site well
Other (specify):
4. Is the water potable Yes No
5. Water tests are conducted by: City In-house Third party
6. Are water additives used Yes No
7. If yes, please list:
8. Is water additionally treated or filtered at this facility Yes No
9. If yes, please describe what means of treatment are used (i.e. chlorination, filtration, softening, reverse
osmosis, etc…):
10. How often are filters replaced or cleaned
11. What is the residual chlorine level in water used in food preparation
12. Does water comply with the Safe Drinking Water Act
Yes
standards
13. List any known water contaminants in the water supply area:
No
Rev. 5/1/14 Page 10 of 21