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j <br />1 <br />10. <br />-.-ns fir i\: c <br />10 J;n.x •?■.. <br />l|P^c-r supply dispenser with wann water at a minimum nf inn-p n.a 5-?0 <br />o: jr nnStt.-v--=sisAgte.-. <br />J. T,.^ap-ies cf .-esp^sibic parsons to be present in poot*'! duonn an hours .y oiwstrn- <br />-imponan**' <br />14. <br />I Heaith Permit i <br />!-> <br />.•■-■inr. s.sci-jr.^pt x <br />I <br />b—s<- <br />r <br />/ <br />irrz <br />/ \ <br />Ice Cooler <br />II F* !ra »ce Bk?5 A Fr^o Cc^latnetr .>• I <br />EHO 16-02 Pae” °. ef 11 <br />Ilf <br />! <br />i- <br />r-lV <br />i <br />I <br />i <br />i <br />j <br />\i i <br />i <br />i <br />A!; focc v-epdo;- bu’jiha <br />prejjar^dn fur mis <br />i <br />fl z <br />H I <br />Sanitizer bu»et- <br />8 <br />s <br />H <br />i <br />i <br />i.J Oer'inc.raTC.ri rr. <br />Van <br />I' <br />boou' must i <br />Conorsts A-. <br />A.- -I <br />U '._______ <br />“;ra j <br />^iT. pr’OviJ.Uj, <br />/ <br />i Water <br />‘ ani (.‘f Vz-'Jii'tv n.e Cv-'li-. i'l-iTtrn--r.i'iFO- :-'i- »‘-.i -.-. -•-.... . , ..4.._.:^.. . ______... .- . <br />4Kcr ..ti--- • • .. • -------- --- ' ■ ’ !- ■ ■ •- ■• JUiJuc ve>o~ . I it n.-Gv IS use-a t.ne TOiiowirp nny maintern heinw d 1 v«-- ^^.-.^.-01,.^%. <br />r,-.; . deuis■i 'iy bwji rcr trie sanitary cleaning ottood preparation utensil <br />'A- ‘A- •) <br />ci^subject tc inspeci.on. Hease make a copy of this application i <br />rent )A copy of rhis checklist must be in the booth at ail hours c <br />- -1 - - ___.■■■ • . - - --• - ■ ■• ■ - ij <br />I Siernc w/C-nntfing <br />Comolered hy^^; <br />£■ Gai n6r>a wasn <br />■/Jasiowji., comafc.-* I <br />'Xu 3J I <br />Hord ‘"sstr 'A*.'^rr I <br />P’TOjr tt.'Te?:*' | <br />■---------A <br />uettf.i tu;?S !OaSi»!S 6-1 mirnr-i’jm- or.= <br />solution tone tablespoon of bleach per qgiinn nf watar' <br />LJ : uo m s-n e •/.■•.. :;-:o -jr.-.rns I- oiedcn jcr.