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SAN 0 A U U I N Environmental Health Departi-ria It <br /> 10. 1 art,}uoviding ttio following cold tenipf�raturo cor}trci for the eotd, holding of potentially hazardous foods below <br /> �1 tiJF(if fo❑! is used t1le fcllowirmg day; maintain below for. <br /> chcsts (] Refrigerator <br /> f <br /> i ]f:efilderated truck ❑ Ice bath and tubs <br /> olizer(speciry) <br /> 71, i aw providing the fo.iIowing items within in iq qth for the sanitary cleaning of food preparation utensil <br /> Three compari ment sink. <br /> O <br /> r] Threc deep tubs (baslns 6-8 inches minirrrirm),.onc for soapy'Wker, one for drrsing and one for a pleach <br /> solution (otio tal)lespoon of bleach per galbn of water). <br /> Detergent, bleach, crud wiping cloths(cle4lning tovvrel s). t C.t �1 l S Y10 '�o Aj 1" 5 <br /> [_)Tut,to store.wiping clotfms in bleach solution 1 <br /> '12. 1 am prtiv.idfng the fo;ll,,wing for adcrivate hand washing facilities, but separate. from utensil wash within my <br /> booth; <br /> [ <br /> water supply disp(-�nserwith warns water at a nrininmurrr of 1WI=(i.o-. 5-20 gallon coiitalner with spigot). <br /> [ We separato tuh (bucket or'r.asin)for the collection of rinseim-istewater. <br /> LP Paper towels and r;um.-stve soap cornrainer. A41 u, auV, <br /> 13. tjl-mes u( responsible peitQ.be present in hooth during sil hours n;operation" <br /> tSQlnlncL (' -Y-10, Y1'i_P;y1'L� <br /> �Nrnpiortant*" All fond'VFndor hcoths are si_Iliject le inspcctiarm. Piease mala i r,al,y of this application in <br /> prepar<<tion for this event. A copy of this checklist must be in the Loath at all hours of <br /> prepaiuAi:an and oper;Aiun. Return oris inal to festival coordinator three weeks noir to. <br /> this event. <br /> 14 Gor7iplet'cd by: �/` <br /> 5iyrmatrrre Title Date a� <br /> Fie lth Par.r it ` <br /> ,. •�-_- ,�_.. .irriN,t t h� tic .... __. . ti, <br /> v <br /> rnILIN j r <br /> on <br /> 11V,,,'r <br /> Call <br /> it <br /> ire (1.OU�E,'1 <br /> zv4f�i��y� <br /> Ikon Avr:ue toGltt ri C0111`crrnfa 95205 1 T 209 466 3420 1 F 2% 464'0138 � ti,�vv�.sjrehti f gram `�� <br /> x.: <br /> (}nun f! <br />