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10. <br />11. <br />OR <br />12. <br />per towels and pump-style soap container. <br />13. <br />14.Completed by: <br />Title Date <br />Paper Hand Towels <br />Propane Stove <br />Propane Tank <br />Soap and Water Rinse Water <br />Fire Extinguisher <br />Page 8 of 11 <br />TEMP EVENT APP <br />EHD 16-02 <br />08/01/16 <br />T-Sjce chests <br />□ Refrigerated truck <br />□ Other (specify) <br />5 Gal Hand wash <br />Wastewater Container <br />Sanitizer bucket­ <br />bleach & water for <br />storing wiping cloths <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, ora Tarp. <br />Stemo w/Chaffing <br />Dish <br />□ Refrigerator <br />□ Ice bath and tubs <br />5-20 Gal. <br />Hand wash Water <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br />□ Three compartment sink. <br />J <br />Names of responsible persons to be present in booth <br />!-----/HAnAC/n/__j <br />All food vendor booths arefjsu'; r <br />preparation for this event. A copy of this checklist” must be <br />E........, <br />Extra Ice Bags & Food Containers must be <br />stored 6 Inches off of the ground! <br />“Important** <br />O Water supply dispenser with warm water at a minimum of 100°F (i.i <br />□ One separate tub (bucket or <br />e. 5-20 gallon container with spigot), <br />basin) for the collection of rinse/wastewater. <br />1 <br />Garbage <br />Can <br />------1 during all hours of operation: <br />Subject to inspection. Please make a <br />! in the booth at all hours of <br />---------- ------ .. —j prior to <br />Ice Cooler |■ <br />Health Permit J <br />,or soap)'water' °"e fc',,nsln9 and a <br />□ Detergent, bleach, and wiping cloths (cleaning towels). <br />^2xQjb to store wiping cloths in bleach solution. <br />^m providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />copy of this application in <br />preparation and operation. Return original to festival coordinator three weeks <br />in is event. f ' --------------------- <br />lature <br />Extra <br />Water <br />Soap dispenser <br />Bleach