Laserfiche WebLink
S Q N=<4�Q Q Q Q N Environmental Health Department <br /> Lo - --C O U N T Y-_-- <br /> o'.1" Greotness gro,.v5 Ilai <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 4,5°F (if food is used the following day, maintain below 41°F temperature): <br /> Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> ❑ Three compartment sink. <br /> OR <br /> hree deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> so do (one tablespoon of bleach per gallon of water). <br /> tergent, bleach, and wiping cloths (cleaning towels). <br /> Tub to store wiping cloths in bleach solution. <br /> 12. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> dwater supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br /> N/One separate tub (bucket or basin)for the collection of rinse/wastewater. <br /> ED(aper towels and pump-style soap container. <br /> 13. Names of responsible Mns o be pre ent in booth during all hours of operatio <br /> WU l-5 "J 2�;iK Vt <br /> "Important" 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. 13,44n original to festival coordinator three weeks prior to <br /> this event. <br /> 14. Completed by: t7U ky- 5 <br /> ignat Title Date <br /> 5-20 Gal. <br /> Health Permit Hand wash Water <br /> Stemo w!Chaffmg <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board Sanitizer bucket- <br /> bleach&water for <br /> Propane Stove <br /> Bleach storing wiping cloths <br /> Booth must be on <br /> (� Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> ` .._ <br /> Propane Tank <br /> _ ty Saap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fire Extinguisher <br /> Extra <br /> Water <br /> fce Cooler ! 5 Gal Hand wash <br /> Extra!ce Bags&Food Containers must be Wastewater Container <br /> --- stored 6 inches off of the ground! <br /> A nnn r I. I na--I"-.- nrnnr i r nnn AAn nAnn I r nnn ACA nA'In i <br />