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A' JUGUI.N Environmental Heath `I port1 <br /> '' rre�rtrye:s� vows .here. <br /> 10. 1 am providing the fallowing cold temperature control for the cold holding..of potentially,Hazardous fbdds-rbelowt.-- <br /> 45"F(If food is used tha following day,maintain.below 41°F.temperature) <br /> L] lee chests [ Refrigerator <br /> E]'RefrlgerWed truck (] ice beth:and tubs <br /> Other(specify) <br /> 11. m providing ther fol[owirfg.:items within my booth for-the sanitary cleaning of food preparation utensil: <br /> 'Th a compartmeht sink. <br /> OR <br /> 0 Three deep..tube (baslns.64 inches minimum), one:lor-soap eater, one for rinsing and one;kK.cjs <br /> solution (one tablespoon of blea6h,pergallon of water). <br /> ClDetergent,bleach, and wiping'cloths,(cleaning towels). <br /> Tub to store-Wping•cloths!n bleach solution. <br /> 1.2. j,a .proylding the following for adequate hand washing facilities, but separate from utensil wash Wift my,, <br /> booth,; <br /> InVater•supply dispenser with warm water at a minimum t f..lg0°F(I.e. 8.20.gallon container-with spigot), <br /> C1 One separate'tub{bucket or basin);for•-thee callegtEan of 40$6 utastewater, <br /> Pape lbwels and.pumn.sfylo saao co.nidiner. <br /> 13. Names of.res onslblq persons to be present-In booth during all hours of operation-, <br /> Michael Moran <br /> "Iriipdrtaht*r' All food vendd.rb6dtHs;are subjecVfa lnapect[orr.' Please,'make":a copy:of this applipat ,. <br /> prep'aratton for this event. A copy of'this checklist must be In the booth at all hours :p <br /> prep6reticsrk',and opordtlon, Rei6rnorlglaoiW festival coor inat thre+ we k ria <br /> t Is• <br /> 1C Corthpleted by; Mishael Moran Owner .6/7/2022. <br /> Signature Title Wile <br /> 6.20 oil. <br /> EealtH Permit' HR9&F18hWeter <br /> 9[euna wlCfiaflinp <br /> 'Paper I•iaini7pwals <br /> �aap-.alirPanapr <br /> Gutkln9©card .W- . <br /> • SarHpar�u�r1- <br /> cr Rhq(�enr BSavA' t+la�1}A4usfirfhr <br /> ,� [ir6eeh etorYng wlptnl{sidlna <br /> _ Bboth must be orl <br /> Ccrncrete,Asphalt, <br /> Rywaad,or a Tarp. <br /> Snap and 1hlplot Rinuo Wa!ar Blaanh and Wekor j <br /> `"_ rirgirt aulo4Qr Can. <br /> :, 9 rShc Nena wash ?pt <br /> Erfra Ica$epd FOan'Gonlnlnare rr1U06tk <br /> ;F snrur�BlrrnheSnllWtlregrvundl - � <br /> 1868 i=. Mazalton Avenue 15tocktary,aG"`atff l l `0.5.,.f: T 21J$ 0 464-0138 'I <br /> ENfJ i6 02 { W". <br /> 0713117iQlf.9 C{11 <br />