Laserfiche WebLink
1Q_ I am providing the following cold temperature control for the cold holding of potentially hazardous foods belo?, <br /> 45'F(if food is used the following day,maintain below 417 temperature): <br /> ❑ Ice chests Refrigerator <br /> ❑Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. Iam providing the following items within my booth for warewashing: <br /> 2-1 hree compartment sink. <br /> OR <br /> ❑ Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> solution (one tablespoon of bleach per gallon of water), <br /> 12- 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> & 'betergent, bleach, wiping cloths(cleaning towels), and a tub to store wiping cloths in bleach solution. <br /> 13. 1 am providing the folowing for adequate hand washing faciiities, but separate from utensil wash within my booth: <br /> Water supply dispenser with warm water at a minimum of 100'F fi.e. 5-20 gallon container with spigot). A <br /> separate tub (bucket or basin) for the collection of rinselwastewater- Paper towels and a pump-style soazD <br /> container. <br /> 14. Names of responsible persons to be present in booth during all hours of operation: <br /> G 4 _2 <br /> "`Important"* All food vendor booths are subject to inspection. Please make a copy of this application in <br /> preparation for this event. A copy of this checklist must be in the booth at alf hours of <br /> preparation and operation. Return on anal to festival coordinator three weeks rior to <br /> this event. <br /> 15. Completed by: " n 1 61411A__ <br /> gnature Title ate' <br /> In s-za cam. <br /> Health Permit Fans wash vVa;er <br /> Stems wJL Fairing <br /> Dish <br /> �a�JBf f•kane Towels <br /> Snap etsxnser <br /> Caaing Boa:C <br /> Propane Stovr F h:eac'i 8 vra;er[or <br /> ��r}, storing wipir�LlGlhs <br /> Booth rrsusY be on <br /> �. __ Concrete,Asphalt <br /> -�1� <br /> __ Saap and lhrtr r2i nse N[e ler S:aac,1 and Uhler <br /> Garbage <br /> =ire r�irauisner i <br /> Can <br /> �a <br /> X_ <br /> N,'2tC' <br /> Ice Cooler <br /> � � E tra lco Bags d Fnod Conraincfs rrxs;fx WasLewalc:C;n�in er <br /> '- 51wed d�•�;^>s aK of Ne grow-d? <br /> E 76 02 Pace 8 of 1? <br /> 7114115 -EMP ANT APF <br /> f � <br />