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r . <br /> <br />10. <br />11' ' P'D''“"S •“ '0“°WinS temS "V *<’•>» »• unitary cieanirtg „f food preparaton uten3,|s: <br />OR <br />12. <br />but separate from utensil wash within my <br />13. <br />in the booth at all hours of <br />14. <br />Health Perrhit <br />Paper Hana TowelsSoap dispenser <br />Bleach <br />Propane Tank <br />Soap and Water <br />Ping Extinguisher <br />RETURN WITH EXHIBITOR AGREEMENT <br />Garbage <br />Can <br />Saniiizer bucket- <br />bleach & water for <br />staring wiping doth? <br /> Water <br />Rirtss Water | <br />Title <br />==T,I <br />5^20 Ger <br />Hana Wash Water <br />’^•ce chests Refrigerator <br />□ Refrigerated truck Q )ce bath and <br />□ Other (specify) <br />5 Gai Hand welsh | <br />Wastewater Container | <br />one for rinsing and one for a bleach <br />Cutting Board <br />Propane Sibvb <br /> I X— <br />I^Three compartment sink. <br />,or soaw «*■ <br />^Detergent, bleach, and Wiping cloths (cleaning towels) <br />ZT <br />/ESTub to store wiping cloths in bleach solution, <br />booth:PrOVld,n9 th® follOW,n9 for Equate hand washing facilities, <br />Date <br /> Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />.......I 1 <br />COMPLETE BOTH SIDES AND <br />Stamp w/Cb affing ' | <br />pwator supply dispensed wam water at a ralnfmum of 100.F (i e ga(|on <br />Wne separate tub (bucket or basin) for the collection of rinse/wastewater. <br />W^Per towels and pum^stvle soan container. <br /> <br />afe - <br />Completed W-X <br /> Signature <br />Ice Cooler I ;