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--FPM :MAC 110DGLE5 rAx Pio. :563 G707 Apr. 25 2005 06:33RII P <br /> to. I dna Providing we following C,iJ lemcurjtwe CM11.ci nor we Coil hr:i;;ing of po::adallr!;J¢;;rcoU <br /> .foods •below 45 F. (chuck cn,; or more Nixes] <br /> ce chC a [ 1 refri^orator <br /> i i :efrigerared Yuck [j ice bath and ,-ubs <br /> [j other (specify) <br /> I am providing the following items within my booth for jile sanitary c;eaeing of food-prePantion <br /> ute=is (check both boxes): <br /> IKT*%t deep rubs (basins 6-8 inches mrnimum), doe for smpy watt, the other for rinse and <br /> bleach solution <br /> N &re:ycnt, bleicb, and water (doe capful per gallon of water) <br /> !2- I am providing tFa foilewk for adcq:xm handwashjag fac:ijces, but ,oCante from utensil waab, <br /> within my broth (cbea 4 bases below): <br /> H '[q <br /> waren P] dispcnSur (cg. 5-20 nMos, 19100 or Colemaa arumirer with spigot) <br /> one sepaMW nab tOucka:t of basin) for lic collee�-on of rmagwaam water <br /> C papa towels and pump-,tyle soap cuatainer (or squeeze .ypc), and lined zash rccepracie <br /> Nettles of lespotbWe pentuns m be pr4st:r in booth during ail hours of Operaaon: <br /> H <br /> 51PORTAU,NtT: Alli food vendor booths are subject to inspettioo. Please make yourself a <br /> Qcopy of this checklist in prepardon for this festival. Ai copy OC :hs checklist must be in <br /> Wbooth at aA hours of prtpu don and operation. RerJrn oritri nai to festival cixlrdizzitor two <br /> Months Ur10r m tbiS event <br /> _. (j] :s. Complcrd bY: � Q� � aS-OS <br /> Q agars ale date <br /> FT. AOOTIf NO <br /> I SMOKING fI�aLTH <br /> I <br /> E-{ - STERHO�- PATER "N01. ' <br /> M�r� LCRAFFIN6 015X/ ' <br /> tA1 ^A!-ACM.P .TovEl S I <br /> .aPROPANc STOVE r I <br /> Ta <br /> ` Y, ING WAP •i BIEACA -i � iS:.fT $OM <br /> • , . - S"':A7ER t—i VAT£R ISPENSER <br /> foARO 1 <br /> IMP T <br /> i <br /> "ROAGC CAN <br /> ` - i ( S Gll. HANDMASA• <br /> 'C` �� •.TASTE WATER <br /> -OL--.R FIR: i.' CONTAINER <br /> FOCC <br /> CDstAiNC.S$ *CST <br /> I; 4A I eA65 nCSi 'C ;7or.CO :F= ,;F Tpr <br /> E $70k = OF 'NE .CCs <br /> ���tLLL�,,3OveC cOnCaE'L, aiannE!, f <br />