Laserfiche WebLink
Environmental Health Department <br />OR <br />1Z <br />H Water supply dispenser with warm water at a minimum of 100’F (i.e, 5-20 gallon container with spigot). <br />13. <br />"Important** <br />■14/ Completed <br />Health Permit I <br />Paper HcndToweit <br />Soap ditpentw <br />BlMCh <br />i <br />.'i <br />IEH <br />£3 Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br />solution (one tablespoon of bleach per gallon of water). <br /> Detergent, bleach, and wiping cloths (cleaning towels). <br /> Tub to store wiping cloths in bleach solution. <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />H One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />E Paper towels and pump-style soap container. <br />BtanwwfChiSnfl <br />DMi <br />11. lam providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> Three compartment sink. <br />^^7IB ■ » <br />Of <br />SANMOUIN <br />-----COUNTY----- <br />„>>r Creotncss (/rows here. <br />10. I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />45OF (if food is used the following day, maintain below 41°F temperature): <br />0 Ice chests ® Refrigerator <br /> Refrigerated truck Ice bath and tubs <br /> Other (specify)___ ________________________ <br />Sanlttnr budcat- <br />- ““** ***■*? <br />atafcijwtptojdotha <br />BoothmystbeOn <br />Concrete, Asphalt, <br />Plyw)od,oraTarp. <br />Maffei. - <br />. ' r—- <br />I I <br />|Q <br />^iOW^s2!’®^01381 www-s|™pi <br />Names of responsible persons to be present In booth during all hours of operation: <br />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 three weeks prior to <br />Title Date <br />5-20 Gd. <br />r- Hand wwh Water <br />- 'yj . Cutting Board . ------ - <br />? !!>E..............•■•, ■•*• IPr^ane^ \ <br />..." ' <br />a®