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I am providing the f0jJ0Vdflg 0010 temperature control for the c,,oid holding of potenfially hazat,40ug for <br /> 45or (if food is uad sthe following day, moIntain bGiOW 41'-F teMpvra )tur* � 46 below <br /> 0 Ice cliests [3 Refrigerator <br /> El Refrigerated truck cll�t anti <br /> Other(speclfy)-- • <br /> Iter'Providing the fbIlowing Items within My"h for warewashing-, <br /> OR 1-3 Three 00Mpartment sjn-, <br /> C1 Throe deep tubs (ba Ins 6-8 Inches miriftim), pne fop soapy water, one for rinsing 0 e <br /> solution(one table4poom of bleacl,per gallon of wgtor, ng ar for a bleach <br /> PI'Ovld(ng 1110 f0flOWing Urns wfthln.my booth for the sanliary cleaning of food preparation utensils., <br /> 6DOtnent, bleach,Wqcrag cloth.*leaning towels),and a tub la store wiptn;clothe in bleach solution: <br /> 9171 providing the following for adequate hand washing facliffies, but geparate from QtOnsll wash within my booth: <br /> C Water sUPPIY dispenser with warm water st a m)NMUM of 100"F (La. 5-20 90110n container with spi ot), A <br /> SOPOrOtO tub (bucket of basin) for the collection of rinWwastowejer, <br /> oontainer. Paper towels and a pqMp -gm <br /> - 'g <br /> 94t <br /> 14. Names.of re <br /> *rsonp to be.pram in booth udnV all hours of opergt;qn; <br /> "Importan 'All tool vendor booths are sub*t to Inspecijorl, pj@888 make a copy of this appiloation In <br /> PrOPWatiOn fOr this $vent, A copy Of thla checklist must be In the booth at all hours of <br /> PrOPar8tiOn 8nd OPetation, adum 29hL2d2L42 <br /> Complated by: thb-ML <br /> ------------- <br /> Signature <br /> Title Date <br /> Health Permit Go? <br /> MW CHHH1 <br /> E .0��Vftolo <br /> 801VUw bw*V!, <br /> N 4 WMW W <br /> Iv&"%ip"111 00ft <br /> eootysm. vaf fire on <br /> 00ftrefe,A*ptWt, <br /> P#YWNt d,or a Torp. <br /> Boap poli VMor <br /> Can <br /> ice Cooler <br /> E"ka gap;4 FOW Cow&ft* <br /> L=$MN"draft Dmio& <br /> TEMP EVENT okPP <br /> 2/9 d S91,66996np << PcnjCCAAn? IULid Un[,i,);zcz zinniw <br />