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�� & UK� � U x � &8 Environmental <br /> ��� Health �� �� � <br /> �� 88 �� U0KX8UUUU � �� �~K����������������m�o wn����x�o* ��&�����° ������K�� <br /> ~°r"vn ^ ^�"�v� v° . " " "- <br /> ' {~(]L] NTY'- <br /> 18. | amo providing the following cold temperature control for the cold holding uf potentially hozordoum foods below <br /> F (if food io used the following day.rnm|O1o|n below 4l,Fk*mpennbuna): <br /> J�k|uachea\s M R801Qon8tnr <br /> El Refrigerated truck El Ice bath and tubs <br /> [] Other(apao\� <br /> 11. | am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> F] Three compartment sink. <br /> OR �Q�� <br /> Three deep tube (basins 0-8 inches minimum), one for soapy vvater, one for rinsing and one 'for a bleach <br /> S6LItiOnbmb|aapoonof bleach per gallon mTxvahmr). <br /> atergent, bleach,and wiping cloths(cleaning tnwe\o\. <br /> r��Tubtn store wiping cloths |n bleach Solution. <br /> 12, i mnn providing the following for adequate hand vvoghinB fmdUUes, but separate from utensil wash within my <br /> booth: <br /> KVVater supply dispenser with warm water ota minimum uf1OO^F(i.e. 5-20 gallon container with apigcd). <br /> �� <br /> c�rOnuoepanatetub (bucketorbam|n)fovtheco||ectionofhnsa/woatewabar. <br /> T-� <br /> ��Paper towels and container. <br /> 13. Names ofn*spoeib|a persons to be t in booth d i all hours ofoperation: <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 all hours of <br /> preparation and operation. Return original to festival coordinator tfiLep. iALitqk§ iqt�to <br /> this ftent. <br /> 14. Completed by: <br /> Signature L) Title Date <br /> H=7 it Hand wash Water <br /> Dish <br /> Cutting Board izer bucket- <br /> storing wiping cloths <br /> Propane <br /> [ ncr <br /> Soap and Water Rinse Water B c i a id Watel <br /> ar <br /> Call <br /> Firo Exii.noul-h-E ,t <br /> Ice Cooler <br /> 5 a Hand wash <br /> Extfu Ice Bags&rood Wainerstnus(be Wastewater Container <br /> 1888E. Hozelbzn Avenue I 8tookiun' {�a(dbnnio85205 | T 2084G8-3428 } F 2O94S4-U1 �3R � www.sigov.org/oh(i <br /> '--_ .-.^ Page �� TEMP EVEN A <br />