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1C. <br />OR <br />algae!' ar-i v.:png clcths ;:le'n:~: ‘‘.v^ 5 <br />■ -b to stere wiping 0 oths tn bleach sc utten meas jr-g : *Copn- <br />-ta'ne' wOh spigot; <br />-3 <br /> <br /> <br />Important” <br />Completed by: <br />Health Permit <br />So;; ; v-c-'.sr <br /> J I <br />CJCO'. ’fc-K <br />I <br />= <br />Ice Cooler <br /> J E-2 it-:; <br />J <br />£ <br /> 1 <br />I <br />j Ice chesl.s <br />i Refrigerated ?uck <br />. G-’-e.'/sre? <br />Lj Refrgeretor <br />__ ':e bath and :jds <br />5-20 7;M <br />r-ans As.s’- V.ata" <br />l <br />i <br /> <br />I am provctr.g the following items .vitnin my booth 'or the san.-a.y cleaning of food nrepa-at.on .•.-■ si s <br />Three compa-.ment sink <br /> Water supply dispenser win warm wator at a mi-imum o?' ZZ'T :.•;. 5-20 gallon <br />take a oooy cf th s apo'ioation n <br />A copy cf th;s oheokist must be in the booth a: al . ours ;h <br />Return original to festival coordinator three weeks prior to <br /> —o.— <br />Ail food ve-'dor booths are subject to inspection Please <br />preparation for tnis even: <br />preparation and operatic- <br />this event. <br />Signature <br />eoct". riuK be <br />:tc"S'ete. Asp-s? <br />Ply.-.'OOd craTa'p <br />LJ ih-ee deep lues (basins f-ii -ches -rimum. --e <0- soapy waten one fo ns to and t ie a .•■ <br />so j-nn lore tablespocn cf beotn per gallon z: v.ater.; <br />1 a7--P ■i e ft?.lowing cold terrpem:..re centre' 'c: the cold no.di-g cf potentially hazardous mods belcw <br />45‘F f feed is used tite fofow ng day. ma ntaiti Lelcv.' J ' T temperature): <br />L.mUne separate tub (bucket or bas m for the co-eotio" of r:nse.;A'aster.'ater. <br />fpPaper towels and pumc-sty'e soap cento "er <br />Na~es of <br />® ! ■ ’-'■’•'i 3 • - bllowing for 'eoegue'e nand wa=ui.‘u ran . ies b_; seoa-ate '••■•■"i uten^'i • 'vithtn < <br />bebth’ ’ ’ " ........................ <br />ZZlL1 1 <br />I <br />—I — <br />. est st'ios to measure sa-itatmn 'eveis fo- bleep- solution Teasurirg tOOppm