Laserfiche WebLink
Apr. 26. 2016 5:52PM No. 4226 <br />10. <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensils:11. <br />0 Three compartment sink. <br />OR <br />□ Tub to store wiping cloths in bleach solution. <br />12. <br />□ Water supply dispenser with warm water at a minimum of 100T (i.e. 5-20 gallon container with spigot) . <br />13. <br />“Important4* <br />Completed by:14. <br />Date <br />Health Permit <br />Pep€r herxl Towels <br />Soap dlapenser <br />Ckitb'og Board <br />BleachPropane Stove <br />Propane Tank <br />Fire Extinguisher <br />TEMP EVENT APRPa0e 6 of 11 <br />6:06PM No. 0737 <br />Al! 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 />this tvent. . , <br />5 Gal Handwa&h <br />Wastewater CoolaJner <br />6-20 Gal. <br />Hand wash Water <br />Garbage <br />Can <br />Sannizarbockel- <br />bleach & waler lor <br />eloring wiping ctolha <br />Booth must be on <br />Concrete, Asphalt, <br />Plyv/ood. or a Tarp. <br />□ Refrigerator <br />□ Ice bath and tubs <br />S lento w/Chaffing <br />Dish <br />I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />45°F (if food Is used the following day, maintain below 41°? temperature): <br />pflce chests <br />□ Refrigerated truck <br />□ Other (specify) <br />QbJtVLr <br />Title <br />z fIce Cooler li <br />□ 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 />H Detergent, bleach, and wiping cloths (cleaning towels). <br />EHO 16-02 <br />Received Time Apr. 26. 2016 <br />Signature <br />I am providing the followlngi for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />iWdtP <br />O One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />E^Paper towels and pump-style soap container. <br />Scf/3 fee B & Food Contsfaers must be K <br />stored 6 Inches off of the ground! Bl <br />Exira <br />Waler