Name of School/Site: ____ABC Elementary____________________________ Date: _____July 1, 2014_____________________ Student Meals Planned: ___250_______ C. # Students Served: ___233_+ 12 = 245_______ Offer vs. Serve: _X Yes ___ No E. Age/Grade Group: _X_K-5 ___6-8 ___K-8 ___9-12 F. Drinking Water Available X PLANNING SECTION DAY OF SERVICE G. Food H. I. J. K. L. M. N. O. P. Q. Product Menu Item Crediting Crediting Portion Portion Size Total Food # of # of Leftover Cooked Temp Temp Info. Size Size Volume/ Offered Servings serving (number) (number) Measure offered actually Served to Students CUPS Time Temp Time Temp FRUIT R#101 Spring Fruit Medley 1/2 Cup 110 cups 220 215 20 Fresh Apple ½ Cup 1 each 1 case 50 15 35 1/2 Cup Canned Peaches 2 #10 can 48 24 24 VEGETABLES CUPS SG * Fresh Romaine leaves 1/8 Cup ¼ Cup DG 6lbs 250 6 lbs. .75 lbs. Tomatoes, sliced RO 1/8 Cup 12 lbs 250 12 lbs. 1 lbs Froz./ Potato Wedges S ½ Cup 25 lbs 250 215/1/2 C. 10 c. USDA GRAIN Oz Equiv. Roll 10 2 Oz equiv 1 Each packages 70 70 30 MEAT/MEAT ALT Oz Chicken Nuggets 2 Oz equiv. 6 Each 90 90 80 10 11:30 190 12:00 146 MILK Cup/Oz. 101 8 oz. 100 20 1% White 12:00 38◦ 102 8 oz. 72 48
Name of School/Site: ____ABC Elementary____________________________ Date: _____July 1, 2014_____________________ Student Meals Planned: ___250_______ C. # Students Served: ___233_+ 12 = 245_______ Offer vs. Serve: _X Yes ___ No E. Age/Grade Group: _X_K-5 ___6-8 ___K-8 ___9-12 F. Drinking Water Available X PLANNING SECTION DAY OF SERVICE G. Food Product Info. H. Menu Item I. Crediting Size (number) J. Crediting K. Portion Size (number) L. Portion Size Volume/ Measure M. Total Food Offered N. # of Servings offered O. # of serving actually Served to Students P. Leftover Q. Cooked Temp Temp FRUIT CUPS Time Temp Time Temp R#101 Spring Fruit Medley 1/2 Cup 110 cups 220 215 20 Fresh Apple ½ Cup 1 each 1 case 50 15 35 Canned Peaches 1/2 Cup 2 #10 can 48 24 24 VEGETABLES SG CUPS Fresh Romaine leaves * DG 1/8 Cup ¼ Cup 6lbs 250 6 lbs. .75 lbs. Tomatoes, sliced RO 1/8 Cup 12 lbs 250 12 lbs. 1 lbs Froz./ USDA Potato Wedges S ½ Cup 25 lbs 250 215/1/2 C. 10 c. GRAIN Oz Equiv. Roll 2 Oz equiv 1 Each 10 packages 70 70 30 MEAT/MEAT ALT Oz Chicken Nuggets 2 Oz equiv. 6 Each 90 90 80 10 11:30 190 12:00 146 MILK Cup/Oz. 101 1% White 8 oz. 100 20 12:00 38◦ 102 8 oz. 72 48
sample-lunch-production-record--7-2-14t-(2).docx