Laserfiche WebLink
15. Completed by: <br />Health Permit <br />Paper Hand Towels <br />Propane Tank <br />-■Ice Cooler I <br />TEMP EVENT APP <br />Page 6 of 6 <br />EHD 16-02 <br />07/14/15 <br />All food vendor booths are subject to inspection. Please make a copy of this application <br />in preparation for this event. A copy of this checklist must be in the booth at all hours of <br />preparation and operation. Return original to Parade Manager three weeks prior to <br />this event. <br />Stemo w/Chaffing <br />Otth <br />5 Gal Hand wash <br />Wastewater Container <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />Sanitizer bucket­ <br />bleach A water for <br />storing wiping cloths <br />I Extra Ice Boqs & Food Containers must be <br />stored 6 inches off of the ground! <br />Date <br />5-20 Gal. <br />Hand wash Water <br />Signature <br />I Cutting Board <br />Propane Stove <br />**Important** <br />Garbage <br />Can <br />Title <br />10.1 am providing the following cold temperature control for the cold holding of potentially hazardous foods <br />below 45 degrees Fahrenheit (if food is used the following day, maintain below 41 degrees Fahrenheit): <br />[«✓] Ice chests [ ] Refrigerator [ ] Refrigerated truck <br />[vftce bath and tubs [vf Dther (specify):_______________________________________ <br />11.1 am providing the following items within my booth for warewashing: <br />[ ] Three compartment sink <br />OR <br />hree deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br />solution (one tablespoon of bleach per gallon of water). <br />[yfDetergent, bleach, and wiping cloths (cleaning towels). <br />[^Tub to store wiping cloths in bleach solution. <br />12.1 am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br />[vf Detergent, bleach, wiping cloths (cleaning towels), and a tub to store wiping cloths in bleach solution. <br />13.1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />[vY Water supply dispenser with warm water at a minimum of 100 degrees Fahrenheit (i.e. 5-20 gallon <br />container with spigot). A separate tub (bucket or basin) for the collection of rinse/wastewater. Paper towels <br />and a pump-style soap container. <br />14. Names of responsible persons to be present in booth during all hours of operation: <br />Fire Extinguisher