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1, <br /> SAN .� a ���i Heal 1i �;�s g_a�artment <br /> v <br /> ict, I am p avid€1tg tit . fatlo�tii:rlr c.f tentpai�lure cantrof fnr fhn gold hol;fing of hofs3rrtisf;y <br /> 45"F (if fond is used tho Ittl€u'aing dt.1y,mnlniafr below 41'F Imp lPeratt{ra): <br /> IJ Ice chests I ]Ro-(0,1&[zlar <br /> ❑Refrigeratcd truclt I lco b1th and li.bs <br /> C3'b1.11el,(Specify)_. <br /> 11. 1 ant provAng the following iloitls Witilill r7)y boolh:for iiia sanitary cic i{tirlrt of food preparaiir,r a?rn +i <br /> Three compartmant sink. iJ`}fes <br /> yk. <br /> OR <br /> ❑ <br /> Three deep tubs (basins 6-8 inches minimum) all <br /> far seapy water, alje for rir�sinct and Orc far <br /> sblulion(one tablespoon of I)leach per gallon of water). <br /> Detergent,bleach,and wiping cloths(cleaning towels). <br /> Fj Tub to store wiping cloths in hleach solution. <br /> 12. . 1 ani providing the following for adequate hand washing facilities, bul separate from utensil wash within n,y <br /> booth: t"J <br /> I Water stipply disponser wMj warn]wateral'a iii#nlmtun of 10b°F(i,a,1j-20 gallon Container with spigot). <br /> One separate toll (bucket or basin)fol'the coiloction of t'smehvastewater. <br /> Paper towels and um -st le SOaP conta}ncr. <br /> " 13: 1dr�rnEs of respansiblr persnn.s to be pri=se tin hooth dtlrincd hours of operaticEll. <br /> t51 l O f\ _ ... <br /> Y' �*Important`" All.focd vendor booths are subject to inspection, Ploase make: a.copy of this al�plicatir} En <br /> preparation for this event. A copy of this checklist must tic} in thf: booth at all hou!s of <br /> operailonandReturn orictin ti fa festival coordinator three <br /> ,lireparalion anfiti�Je-e�ks/i�rinr to <br /> Ek. <br /> 14. Completed by: - <br /> Signature Title nr;tr. <br /> � n,VVIV I <br /> 'MIA wash Walot <br /> �..;; Healih Pert-nil <br /> �1eme t'uCJSai!'�.7g <br /> FP Tp- <br /> Tar;el <br /> GUStiu�f:oa:i1 --- _I �'asdt�,wu er ra; <br /> Tarp. N = <br /> &eap htl lNdh,f <br /> -11hawlVJn',tlr 171 fn�_h 3,i.i L7', I C�al�l�Ci <br /> tr � E'IrtsPkt'a�ilsticr EE - �` ,� <br /> � <br /> I{ce— Coater l'... 3`"_ .,iiat}ImldtivoslS-� <br /> 'JJa e10s1'rlet t:vtifli!naj <br /> Fxlrn Ica lJsg3&row ca[AWflvr3 iry r hFi'. <br /> -...._-.-. - aro-act ffi.rhes[?f 1:fmijyroun71 <br /> 1868 E. Hazel[an Avenue Stocicion, Ctilifoinia 95205 j '1 Mg 168-3420 { F 209 464-01 33 i wvAv,sjcohdxam <br /> t!j[? tG•C2 Pada!! 11:'.F"LtJEtr'T APP <br /> +si <br /> -- <br />