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SAWMAQUIN Environmental Health Department <br /> V <br /> 10. 1 am providing the fofkrrring cold lemperature cor"for the cold hoiding of potentially hamrdous foods blow <br /> 45OF(9 food i;,used the following day,maintain belorw 41 OF temporatm—). <br /> A lee chests 'KRefirigerator <br /> rM Rafrigerated truck Cl lee bath and.tubs <br /> W other(specify) <br /> .Ian providing the followng items v►.thin my booth for the sanitary cleaning of food preparmion vtensif <br /> Throc compartment sink_ <br /> OR <br /> Q Three deep tubs(basins 6.3 inches minimum), one for :soapy water, one for rinsin and one for a bleach <br /> tia saiun(arse t�spoon of bleach per gallon of water). <br /> ©Detergonl,bleach,and mqping doths(cleaning Imvels). <br /> []Tub to stoma wiping cloths in bleach solutiom <br /> 12. 1 are providing the following for adectuate hand washing faciftties, but separate from utensil wash within my <br /> boa`h: <br /> ®Water supply dispenser wth warm water at a minimum of 100°F(i.e.5-20 gallon container with spi.9 )_ <br /> 1M One seeparatc tub(bucket or girl)for the collection of rinsclwastevratef. <br /> El Paper to%veb and{aum f►sty>c sn Conoiner, <br /> 13. Names of responsiblo persons tq-be presont in bmh all hours OM ion. <br /> "lmportar:Y• AN food vendor.booths are:,object to inspDC:1M Pleas mace a copy of this appliczVon in <br /> preparation for this evert. A copy of this checkW must be in the booth at all hours of <br /> preparation a d o ��fym ori-ginal to festival coorcknator threr; N,�ks pnQr to <br /> !l]iISSye E, <br /> 14. Qxnpleted lay, � ,� ;3 C <br /> Sig le Date <br /> COL. <br /> Hcatih Perrtzit .c.+e.r�w�s.. <br /> i5r�er rrrM ron� <br /> ��9 Enak anti-R <br /> tkazb s nr*r tx <br /> ram+`53r'`c t�xh smr�"TAM Wfsk <br /> 8oath rtMt bt on <br /> Ce+tcrete.Jt.,�l�at[. <br /> PfY�s,or a MP <br /> !'�1n9 Taro. _ .. � 7 ..., 7-.-.,w". .�-,',-. ._.._. . 'w"d�'#3.:21°`� <br /> Z—parYVk2of dhcen o'kr $UChoM VJaW <br /> WrbSga <br /> F� faarp y Ca 1! <br /> Ceaa <br /> r C <br /> �f .� �CNiieNC rxsh <br /> FY9n kQ EZC��6�rnAC�r!¢3fCy'��x1 tr YAL•Sx»ykrr C-0rP�7ifr <br /> �1G l7Clk-a arra(A•r-g�1: <br /> tt3ia ton, Cal t:;3nfa`5205 1 1 :D'J 463-3A2-%;I F 2` S 4 <br /> FWDIG 2 � ti4-�13ii � ��,�v slgov.orgla'aci <br /> 4Gr1�3n4 r'rg e 8 11 :EMP EVE:APP <br /> 3 <br />