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Environmental Health Department <br />IQ <br />11. <br />OR <br />12 <br />sepdral* from ularisif wash w.lhm rry <br />13. <br />“Important'* <br />Completed by.14. <br />Health Permit <br />- UM <br />r»nt*-w | M* <br />Can <br />Owm timt t< <x» <br />Cont-hi#. Aiphat. <br />Piywoit. tri Tare <br />Utn <br />r-M c-w <br />ihflM.-t.ll0- <br />llturi I •<-* to <br />v«n) on-«I I fs. <br />‘ ^pBUiiL <br />I ’■>*« Wfaj | tiua v.1'/..»■ | l <br />£*• i s <br />H Water supi^ diioenwr with warm wato* at a m,n«r<jm o» 10OT (< e 5-20 {Hiot contauiw with <br />D On* separate |ut> (bucket or te,wn > ter trio cdteclKw of r nscMastawaler. <br />II Paper twefr* mJ Ptiinc-Mvte ?oho container <br />Nome# of mopcnsibte porsons to be prce>c-M «■» booth duri'tg wl hours of upe-rafiuii <br />*x ci 3y » *r3*>CT <br />SAN JOAQUIN <br />...COUNTV - <br />. Iirfftii.in yr<m< <br />O tee chests Q Retrperatw <br />□ Retested buck Q tec both ona tubs <br />O other (Speafy) Geezer ____________ <br />Al food vendor booths are sut^ect to inspechcn Pleast, mnke s copy pf pms appicawTrn <br />proparaton ter Ihts owns. A copy of tM checM-.st must be in ll-.e fcjrfh n! all hours o' <br />preparaton ard operslten Rsturn orfainal to festival coordinBln»r,iM<y w io <br />this uwiit . / I A . ---------------------------- <br />cracnathr __J l~2‘-l~2Li <br />Signature Title Date <br />o ,ltefn5 w‘hr "*coolh for *•'**of <br />U Ttuee deep tubs (basne 6-fl incties mnunum/. ooo for soapy wsier. ere fcx nnsirg ar-d one tor a bleach <br />aokiton jane t^lespoon of bleach p« gaficn of water) S ar« UP.. wr a bleach <br />□ OetetD&nl. bleach, and wiping duihs (dealing taMrte) <br />I | Tub to sto’^r vvlptrg clr<?*s in ofasen solyrcui <br />th° f0itoW*"B har'd "ashing feclMes. but <br />1PW HMMi *«k% I