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2017-01-12 11 : 17 Midrlle section print 2099557038 >> 2093699185 P 5/5 <br /> 0. I am providing the following cold temp rabJrb contr f for the cold holding of potentially hazatows foodar, below <br /> 45°F (If food Is used the following day;rna€ntgln t Stow 41 T tampereture): <br /> I00 chests 0 Refrigerator <br /> 1 <br /> Refrigerated truck Cj Ice bath and tubs <br /> ❑lather <br /> I am providing the folio�Mng ifems w1thin ttty tspoth for the sanitary cleaning of food preparation utensils: <br /> OR Three compartment sink, <br /> Three deep tube (basins 0-8 inches t' inirnurn), one for soapy water, Farts for riming and one for a bl gch <br /> solution(one tablespoon Of 151 00011 per gallon of water). <br /> F4�4tesrgent, bleeCh, and v tang cloths(cleaning tr, ie . <br /> 0 Tub to store griping cloth$in bleach SOILIt OM, <br /> 12, i am providing tho folltaw ng for adequate hand washing faciiitles, but teparate from utenall wash wmlrt my <br /> bocsth: <br /> a Water supply dispenser+Nita unarm water at as rt-zinirnum of 7 00*F (i,e, 6-20 gallon container with spigot), <br /> ED One Separate tub(buck&t or basin)for the cotlection of rirtsetwa tewater, <br /> Paper towels and pr �.�i .�Y�container <br /> 13, tames of m9ponslblea parsons to be present in both,during all houm ofration" <br /> "Important" A,il food vendor booths are subjW to Inspection, Please make a copy of this application In <br /> Preparation for this event. A copy of dt s checklist mu-St be In the booth at all hours of <br /> Preparationand opperstion. <br /> 14. Completed t y: _ <br /> - Signature Tate Date <br /> �e�itit t�errnit �gne�i�• rtxrav <br /> 8t�rrtia rrvfn{� <br /> anacl Nana�TwvNd� <br /> r#ift <br /> "Mar fit+ <br /> W"d)dWAW ter <br /> EEE <br /> tSiatssxs aronng wssarrp r3c6m <br /> ^B�oyoryth/upm,Pnust be on <br /> W9N WILi'4f,f41GI°StY+�lt, <br /> Pte,or a Torp, <br /> &sapxndweWr knbeYx t M1140 qnu WAW <br /> k <br /> Can <br /> �NiF�e3lrfpturNsw <br /> 1r4�t6r <br /> Ice Cooler >t, 111111111 Nanmv--- -. <br /> jE+,.> xte hr� <br /> �+agn��a�>:�tu9JtaSttu'9 rmrer iv Wm,'!tauvx�rf;rx'�rrarw, <br /> ""•••"—"•,^�"•,'^•,••• ftU�0 kscdssa a�'rst/htry�,sysw�tt <br /> EHO 19 tfF rlyY�fl by f 9 <br /> 0"1/16 TEMP CVP.NT APR <br />