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:n L'icrsS11. <br />OH- <br />12. <br />**lmportant** <br />14.b( <br />Health Permit <br />P*oar >Urd TcMla <br />QCkxi Board <br />PrapwaSova <br />Propane Ter* <br />RnMWaw Wwrsi «1O w«arSoapanrtWaw <br />Ice Cooler <br />TCMP EVENT AFPPaOpBt/11 <br />Scanned with CamScanner <br />rHEjfrotishor <br />8 Handwash <br />Waawa Oonaaw <br />fi <br />EHD 16-02 <br />W1W10 <br />Em tea Daga « Food COrMwn mu* ba <br />*or«d 0 hcbM rfTcF tw ground' <br />4ja<3al <br />HandwHbWwKr <br />DHh <br />Gariaage <br />Can <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or o Terp. <br />1 am nm^tfing fna TcitoH’ing Tor adwiuffte Trardv w^riinn Tadilfi^s. out 'rrom Utsnsii wasn wiimn my <br />booth: <br />Santtrarbucwt- <br />aSoring wTping do<hs <br />Three deep tubs (basins 6-8 Inches minimum), one for soapy water, ono for rinslnp and on© for a bleach <br />/s5u\ion (one tablespoon of bleach per ge1^ di <br />jQPetergenl, bleach, and wiping cioVie (cleaning iowvte; <br />0Tub to store wiping cloths in bleach solution. <br />0\NW <br />Title <br />10. lam providing the following cold temperature control for (he cold holding of potentially hazardous foods below <br />45aF (if food Is used the following day. maintain below 4VF temperature): <br />loe chests Refrigerator <br />F) Rfifriperainri rn/ck 0 icn hnih nori hicv? <br /> Other (specify)___ <br />All food vendor booths are subiect to insoection. Please make a copy of this apolicaijon in <br />preparation for this event. A copy of this checklist must be in the booth at all hours of <br />preparation aricJ'operation. Return original to festival coordinator throe wooks prior to <br />j i ohop'S1 <br />W ^■Slflffature y J Title Date <br />’. cm providing the toaowtng terns v.-.thtn my bucth for tte sentry of h»d prepsrotei <br />I 11 nrec compartment sink <br />J^Watersupply dispenser with warm water at a minimum of 100vF(i.e. 5-20 gallon container with spigot). <br />yfone separate tub (bucket or basin) for the collection of rinseAvastewater. <br />towels and pump-styfa soap container. <br />13. Names or resoonsible persons to be present in booth dunno an hours o’ operanon-Wnm ___