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..1.1141 ttu.,:tet- <br />'..-...11 3 oe.d.r.r <br />upauj ch <br />&lap Eluaratsui <br />Storm .dr...rrafursa <br />5-20 Ga <br />Via:= <br />jinx! Tclhoets <br />Wear, <br />LJ 0 <br /> L edesAth and W :-.1d .Asi <br />Propane Tank <br />(Ice Cooler -/ <br />dooth must be on <br />Concrete. Asphalt. <br />Fiywocd, <br /> <br />or a Talp. <br />[ Sup &Ad 45/4a <br />I- Exbrauttia7-1 <br />ftropane Slave <br />Garbage <br />Can <br />Health Permit <br />SAN JOAQUIN Environ • . ntal h Department N TY— <br />I am <br />providing the followino cold temperature c(Nritroi fni the cold holding nf potentially ha7arrintis foods below <br />O. <br />45°F cif food is used the following dai. maintain hekwv 41T temnerahirel <br />Elm chests n FRefrioerator <br />Refrigerated hoc* 5-31er, hlith and tirbs <br />Other (specify) <br />RTT1 prOVidirlp thP following items within rnv booth for the sanitary cleaning or food preparation ,oensif Three compartment sInk <br />5 Three deep tubs (basins -11 inches minimum), one for soapy water orw for rinsing and one for a obaaen <br />solution (one tablespoon ot bleach per gallon of water). E Detergent, bleach, and wiping cloths (Opening towels). <br />Tub to store viripind cloths in bleach solution. <br />am providing the tollni <br />booth. <br />E Water suppty dispenser with warm water st a minimum of 100"F (i.e. 5-20 gallon container with ..spigolf. <br />One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />BrPaper towels arid pump-style soap container. <br />Names of. responsible persons to be present in booth during all hours of operation: <br />..1.4/f5 <br />Important" All food vendor booths are subject to inspection. Please make a copy of this aociicaton <br />preparation for this event. A copy of this checklist must be in the booth at all hours of <br />preparation and operation. Return original to festival coordinator three weeks prior to <br />this event_ <br />14 Completed by <br /> <br />i5 '7J <br />Title ate ---- <br /> <br />Signature <br />1R <br />for adequate hand wa. shin() facilities, hut 'parata from utensil wash within my