Laserfiche WebLink
10. <br />11.I am providing the following items within my booth for the sanitary cleaning of food preparation utensils. <br />^3' Three compartment sink. <br />OR <br />□ Detergent, bleach, and wiping cloths (cleaning towels). <br />□ Tub to store wiping cloths in bleach solution. <br />12. <br />53 Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br />3 One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />53 Paper towels and pump-style soap container. <br />13. <br />mJ poo! <br />“Important** <br />14.Completed by: <br />P-pof Hand Town <br />Soap a.jpenief <br />Propane Stove <br />Soap and Water Rz'ie Waler Bleach and Water <br />Fire Extlnguteher <br />Ice Cooler <br />J <br />Page 8 of 11 TEMP EVENT APPEMO 16-02 <br />08/01/16 <br />I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />45T (if food is used the following day. maintain below 4rF temperature) <br />□ Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br />solution (one tablespoon of bleach per gallon of water). <br />Slenvo ^.Cr-jrr'Ag <br />Dtah <br />□ Refngerator <br />□ Ice bath and tubs <br />5 Oal Hand wash <br />Wa«t»w»(«r Container <br />3 Ice chests <br />Q Refngerated truck <br />□ Other (specify) <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />5-20 Gal <br />Hand wash Water <br />Garbage <br />Can <br />Sawwer buclat- <br />Uaach & water tor <br />itonng wiping dottls <br />Booth must be on <br />Concrete. Asphalt, <br />Plywood, or a Tarp <br />Til <br />Names of responsible persons to be present in booth during all hours of operation: <br />All food vendor booths are subject to inspection. Please make a copy of this application in <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 />yr I Erlra Ico Bags A Food Conto/nora must ba ■ <br />I stotad 6 mchas o!f of tba gromd' S <br />Date <br />Propane Tank <br />---------------------------1 <br />| Health Permit <br />Cuttna Board <br />Bleach