Laserfiche WebLink
1�. l am Providing the fallowing cord temperatu wntroi for ale cold iOldrng of potentially hazardous hods below <br /> 45°F(rffoad is used tha following day,maintain below 41'F temperature): <br /> (�Ice chests ❑ReMgerator <br /> �7 Refrigerated Wx* E]Ice bath and tubs <br /> ❑Other(spew} <br /> 19_ i am providing the followQ items ymhin my booth for the sanitary of food <br /> ��9 preparation tttensits, <br /> L1 Thee compartment sink. <br /> OR <br /> Thee deep tubs (basins" i utm minlirn rrn), one for soaPy water, one for rinsing and one for a bleach <br /> ution(one tablespoon of bleach per galon of water). <br /> ❑Deterent,bleach,and wiping doths(cleaning towels). <br /> EXTub to stone wiping cloths in bleach solution. <br /> 12. l am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth_ <br /> Water supply dispenser with wane wafter at a rninimurn of I00'F(Le.5-20 gallon container with spigot}_ <br /> none separate tub(bucket or basin)for the oolleclion of rinseAwastewater. <br /> DO Paper towels and mmpwe oanlainer- <br /> 13. Names of r risible persom to be We rrt in booth during all hours of operafm <br /> °Important" All food vendor booths are subject to inspection. Please nave a copy of this application in <br /> preparation for this event A copy of this checklist must be in the booth at A flours of <br /> preparallion and operation. Return original to val coordarator three wqelm prior to <br /> th Is event. <br /> 14. Completed by: oula e r- <br /> ature Title Date <br /> Health Permit re��v� <br /> , � <br /> Papm HOW Tare[x <br /> sap Gs�c <br /> sa�TtK eiumat- <br /> hbkarh46+ra0ei kr <br /> Pvpv�esauvt ermch r -3&VW4*QCW* <br /> ! Booth must be on <br /> i Concrese,AsphaN, <br /> _ Phwood,or a Tarp. <br /> Pwpaw Taa - <br /> sar u,a wasa firar YY2taa 9rooeh w�i ri�atae <br /> Garbage <br /> F f can <br /> Odra <br /> Ice Cooler a Sow""wrt, <br /> �a�BJy7t 4 Fari7GLr��xJx mesl Ge V1�Clan�IorC.afYsinr <br /> s�rarf d toclax M'a/Cm guru! <br /> E:iD 16-02 Paso 8 of 11 <br /> 7128M TEMP EVENT APP <br />