Laserfiche WebLink
;,."%zr4.. 4t'; ' - • l'A' .4.4.4 r., <br /> <br />— N , - .„4,"';_ift1.kt <br /> <br />'f-,Z17111 N. • W.' <br />l'Se .‹.."; <br />1. 1 v.,* • <br />Gart,age <br />Cap <br />(Ice Cooler <br />tre 6.40 6 mkt nva be. <br />awn, rchn off ,!tS,grord. <br />Health Permit <br />UOC1r1 must DC en <br />Ccnerete. Aspialt. <br />Pipicod. V' a Tam. <br />SAN JOAQUIN <br /> Environmental Health Department <br />1(1 I am provaiing 111i, ttllawing cold thmtpotatuw,,ont,oi ! it h,ti.v.1 h;17:1,t1:; <br />45`F of food is used the falloviang day. miuniain bitic.v. 4 F <br />fl Ice chests Rcfrigf:14.:r <br />Ei Refrigerated truck f j ce bath ard ltias <br />Otter (specify) <br />11 I ant providing the fallowno items withil niv linhlh 'or the santry of food preparation Oar <br />0 1 tires compartment sill, <br />OR <br />El Three deep tubs (bases 5-e ,r,ches tn.nsrlirt) ,:ne for ind one for a <br />solution (one tablespoon of bleach plr gallon of water) <br />1: Detergent, bleach, anc wiping cicths (clearing tuwels1 <br />[1] Tub to store vacting cloth % in bleach ;Natio, <br />12 I am providing the 10110wrg for adequi,:e hand wasf-oriti taciLtius ht.e. .3eparate frcrr iterr.-,11 wash •wi!tim my <br />booth' <br />et <br />El Water supply dispenser with warm water ate minimum of 100 -F (. it. 5-20 gallon container wIn spigot) <br />E One separate tub (bucket or basin) for the collection of rinseiwastewater <br />E Paper towels and purro-sh.le soap container. <br />13 Names of responsible persons to be presenter bootri during all hours cf operatom <br />inie_e_'\/ 5 In con A ak, <br />—Important— All food vendor booths are subject to inspection. Please make a copy cf 11-ts applicator <br />preparation for this event A copy of this checklist must be in toe 3: all hours o' <br />preparatio and operation. Ret rn on Mal to festival coordinator three weeks nor to <br />this event. <br /> <br />C - 0 g • )- fl <br />Date 14. Completed by. <br />Signature <br /> Title