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10 <br />OR <br />to store wiping o oths .n bleacn section j-naasori-g 'OCop-r <br />.— '. vster suopiy d:spenser '.’.-n worm wat;-"te oer ■:::' spigot! <br />vj O",= separate tub 'buc<et or bas r the co eotio" cr •- 'ise.'.-. estc/. oter. <br />'3 <br />Important** <br />Signature <br />Health Permit <br />ia' tlzz L.c te <br />E-Z IE.:? <br />Z’ ‘ <br />Ice Cooler : <br />coef nos: be O’ <br />Oc'crete. isp 'n" <br />_ Ret'oerstor <br />__ toe bath sac tubs <br /> <br />I am prove -g t.hs follcwirtg items .vitmn my boy.1- -'y-fne san.-?..y claa-mg of mod oreparat.on utensrs <br />■ Tnr=~ compa-.ment si--’-. <br />Afrte tmesis <br />. J Refrigerated t-ucK <br />... Other (specf/i <br />i-it'e .:£ i Rose Cwa <br />S'-.v- i t.-cces Q,r :.• <br />s <br />et a ■"i- mum pf j:~T :-22 gallon <br />1 £?.Y;“ "3,:he b'i0'7 '■3 cc'c' ;eTn?'5‘-'s =-trC: m: the cold rio.dhg cf potentially hazarctous mods befcw <br />-0 r f icoo is used me fc.~v.mg d~y. ira'.ntain Leiow b'-'p temperature: <br />Q ih deep tups (basins _< --n5S minimum) --5 m- soapy water, one fc ringino and - io fc- a b'aach <br />so .rmn (pre tablespoon cf b'eacn pe- gallon or water. <br />1 Title <br />"Completed by: <br />2 i p'c-vidin-g t -e rolicwing for adequate hand washing fac ies but sebarafe fryn utensil wash withir mv <br />booth’ <br />detergent, b'eac1*. and wlp'rc cloths .cleaning ‘-wo s, <br />SsZest st'ios to measure sarrtaf on fcvets fp- bleacr solutfc- measuiirg tOOppm <br />pZ’aser towels and pu.rrp-sty'e soao coma ret <br />present in booth during all hours of operat on: <br /> <br /> <br /><-x.' food v~"do booths are subject to i-speotio.n Please make a copy cf th s aoo'ioation n <br />preparation -or this even: A copy cr th.s checklist owst be in the booth at al1 oujrs of <br />o'-eparat'on and operato- Return original to festival coordinator three weeks prior to <br />this evg~t. —— . <br />/o/d^/d-l <br />Date