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4 <br />■ 1*/ hazs'dcus foods de'c .-.- <br />OR <br />:rta -.err.-fo spigori <br />'3 <br />’'Important” <br />Title <br />Health Permit <br />i <br />'7 <br />c; <br />E-2 !€-:2 <br />i <br />I I <br />ice chests <br />I Refngerarsd :-jc< <br />Otrertsrec;fy\__ <br />I <br />I <br />I <br />iso'- ~ls: te c< <br />3orc-at=. Asp-=|- <br />r’l/.-.oj-J r-aTi'p <br />__ Ref'jerafor <br />__ Oe bath and fobs <br />Date <br />J <br />I am p ov.p.ng the follo-.v rg cc:> •;----- \ <br />-5’F f rcod is used die forowing day. ma'foairi below <br />ipergture centre: fo: the :o d noid;-g cf pete! <br />.• 4t =f temperature;': <br />ih'ee ceep foes (basins 3-3 -’Ches ~ r;mt. <br />snljtwn (cr.e tablespoon cf b’each per galkm y ■.'.ater. <br />•^Detergent, bieacm and -ipog cloths .cleaninc fowe s. <br />I am provding ths following items fotn.n my boot- fo' tne sanitary cleaning of food nrepa-at.on otersi s <br />Tnree comoe'tment si.'11; <br />VPaner towels and purrp-sfo'e soao conta "er <br />Completed byC5 <br />^'A’ate* supply disperser wth warm water at a "-r mum pf '33 T :.e. 5-20 gallon <br />^One separate foe 'bucket or bas’m fomre co eotio- o'' nse.'.-.sste.'.ater. <br />o'e fo" soaoy wate". one fo rinsing and o ie ’fo- a .t each <br />r-y .Ice Cooler •: . <br />Na es ofjesponsiole oersons to be p'esen: in ppotn during al' hours of ooeraton: <br />-David Ulnodi e oind_CharI oVVe Hmfoavcl <br />am c-cvfoi'g t"e following fo- adequate ha-d ••.as*- i fan aes h.: seos-ate -' em ute's was- wifoin mv <br />oootn- ' '• <br />nr ■ est st'ips to measure sanitation eve's fo' bieao- solution measuring tOOp-m <br />Vf~ub to store wiping cloths in bleach sefotion measuring tnn-pm <br />A ■ food v="dor booms are subject to inspection Please make a cooy cf this aoo'icatior n <br />p e~=ra.io" or tms event A copy or tns cneck. st must be in the booth at a! rours of <br />C'eparet on and operate-. Return original to festival coordinator three weeks prior to <br />this event.