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Environmental Health Department <br />10 <br />ti <br />OR <br />12 <br />8 WMv xopiy dispenser wann water al • mraman of 10CT (i e 5-20 gel on cxytamer Mti spigal) <br />8 One separate tub (bucket or tew) for tie coteckcn of nroetaaslewaier <br />8 Paper loveta and pump-eM* eoep contanar <br />13 <br />“Important- <br />14.Compteted <br />Bipnaturo <br />Heath Parma <br />Scanned with CamScanner <br />Or <br />huc»« <br />MK> <br />I am prortctng tw fokowmg cold lemperakira contot tor too coto hokkng of potmtaty hazardous foods below <br />45’F (« food « mod the fotowing day. nwrKaai baiow 41 *F lemporatore) <br />K tea chests Refngorator <br /> Refrigerated truck ice beto and fobs <br /> Ofrw (speedy) <br />I am prowdng the Wtomng tor adequate hand washrtg tecPkei. but eaparate from utensfl w*sh wdhin my <br />booth <br />I am prowdng tie totomng dama mten my boot* tor toe santary daarang of food preparafron utensd <br />8 Three compartmerrt smk <br /> Throe deep fobs (basaw 6-4 nchos nwwrsjn}. one tor soapy water, one tar nnemg and one lor a bteach <br />sotofron (one tabioepoonof bteach per galon of water) <br /> Dwtergert bteach. and wpmg dotes (ctearwng kaoate) <br /> Tub to store wpmg ctoteo n bleach sotaeon <br />frocei muW be on <br />ConoeW AeerwR <br />Ph*ood 9t a Ta»a <br />SAN JOAQUIN <br />COUNTv <br />Ice Cooter <br />— 11 a <br />• «»• •• • •««« •' ■ ■■■'» i •»>•/ *• li <br />1866 E Hazrtton Avenue | SkxAlor Cabhxraa 95205 | T 209 466-3420 F 209 464-0136 | www SfCrh-1 com <br />(>«<« e^aeii tsmpswni <br />srmtr <br />___I <br />[ faaawww <br />♦ ■■» in <br />Al food vendor booths are subject to rapeefron Please make a copy cf too appkcalior in <br />preparabor frx ttjtf A copy of tw choddwt must bo n toe booth at al hors of <br />prepyteowj^^oracian Ratem grfrfrite to foetfrte ggtetfcwHr toroe wssfri prfor to <br />Owner 06/03 <br />5 <br />Fr