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SAN 1UA(. UIN <br /> 10. 1 am providing the following cold tc:mperalut'e ::onlrol for the cold holding of potentially hazardous foods below <br /> 45T(if food is used the following day.maintain below 41'F temperature): <br /> Ice chests 0 Refrigerator <br /> ❑Refrigerated truck 1-j Ice bath and tubs <br /> 11. 1 am providing the following items withm my booth for the s initary cieani11c1 of food preparation ufensil <br /> I.J Three compartment sink. <br /> OR <br /> F-I Till <br /> deep tuns(basins 6-8 int'hes rnininoum), one for soapy water, one for rinsing and one for a bleach <br /> solution (one tablespoon of bleach per gallon of water). <br /> [I Detergent,t))each,and wiping cloths(cleaning towels), <br /> n'1'ub to store wiping cloths in bleach solution. <br /> 12. 1 am providing the following for adequate Hand washing facilities, but separate from uiensil wash with n my <br /> boetn. <br /> 1�ater supply dispenser with warm water at a minimum of 100' (i o.5-20 gallon container with spigot). <br /> {%l 6ne separate krb(bucket or basin)for the collection of rinseiwaslewater, <br /> "�ier towels and um •s? le soap container. <br /> 13. Names of mspon-Afe persons to be present In booth during all hours of operation <br /> '*Important" All food vendor im ills are subject to inspection. Please make a copy of this application in <br /> preparalion for Wis event. A copy of this checklist must he in the booth at all hours of <br /> preparation and operation. Return priginal to festival coordinator three weeks.prior to <br /> this event:. <br /> rn <br /> 14. Completed bY. ._._...._ � <br /> Iyna cure Title pate <br /> Health Permit. – —Nd1-M1Yd 1'i:�AlFr <br /> u:rc JI i ��11 <br /> �a err Hx�r9 rrNuk I <br /> C:1rM rsirrh � J <br /> I'-rgt:liln�rcrs 4 j ,. j Muin til:mg d-Mi <br /> Wooth nlL2SL be On <br /> Cyv=d r ft Tarp <br /> �Iyv.OaA or a Tarp <br /> �tr'a:frl:Yniai Ibnrn L-r'6rC•� I n1i,NM1A f!'Ja'n'N I r rF{r F.s}1c�P. <br /> Can <br /> Ice Cooler <br /> Ftao h.c BAga d Poa!ik.8a:nny nays!Lf 'A"a6lnr:al.'f:rul'8rir <br /> 17[U,EJ1:,,7s`6kS b."'6'lLR ry:r,'II:,U <br /> 1863 E. Hazefton Avenue I Stocldoii.Cttlifornia 952()5 I T 209 468-3420 1 F 209464.0138 WWW.SjCehd.00ft1 <br /> Elio 16-0) ;1411,,-B of 1 t FUM EVENT APP <br /> nwsii <br />