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Environmental Health Department10. <br />U. <br />OR <br />13. <br />^Importanf <br />14.Cc^npleted by: <br />Signature <br />Health Permit <br />PWM Hwf <br />CunnoBcr* <br />PrapvwStow <br />fatwvTana <br />RmmWW •iMCOVtdWMM <br />Ice Cooler <br />PageBcfll <br />ttaMh&MMrkx <br />*w»’O*t*iQdtae» <br />WO GM <br />HMaash Water <br />www.sjgov.org/ehd <br />TEMP EVENT APP <br />G.wbitge <br />Can <br />CM <br />&GaiH*xiMter. <br />WMteMtaQaMa <br />Booth mov. bo on <br />Concrete. Auoh-in <br />P^ood. or a Tarp. <br />LrJ <br />| •UW0t«Aaaar</0»0«M<r <br />lHU6?M;HaZetonAvenUel S'ocklor’.CaWomi.195205| T 209 468-34201 F 209 464-0138 I <br />07/CHQ025 P»QeB 0*11 <br />| SoapaMutetete. <br />FWCmwpwwMr | <br />Title Date <br />peraonsto be present in booth during all hours of operatxjn. <br />hafKl washing fadBttes, but separ-tr. from uton- .1 wash within my <br />Gr- <br />1 <br />' ("food,, <br />' • ’O- fhf.M,, <br />S4NJ0A0UIN <br />r°,ne” ' <br />n° rf,° ' -'low,.,. <br />1 J PelHperntnr <br />i-J k» bmh and tubs <br />orwi for W .py Water, one for rw-ang and one for b M<. x;h <br />ft0** a? 10 in8^ectton- Ptease make a nnny nf this <br />h'S Went A COpy 01 tbis ™st be o thb booth at an hou-■ o’ <br />^fat-on. Return original to festival coordinator three weeks prior to <br />^'n my boote tec ttte sar^ry c^ <br />....—......... •P3 Doterpor^ bleach b ,Mc 'per 9a,tOn 01 ' ----------- <br />' ''1J10 sto™ «P''>9 elolhs'KSi’sSX'"8 ,0W,|Si' <br />f°*tewing for adequate <br />W ater supply cfepe^ * a spgo() <br />S6Para,e 'ub or bas^J ftx th. C^KX, ol hnwMastcwa^. <br />0 Paper towots and gyrnp-stvle soap container. <br />heroes of responsible