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1 i3. f am p-ovid;ng the follot✓rno <br /> f Cc �:1'. C.::r?C .^TG i.^: i'19 Co id. . r. <br /> used i o'd fl : f <br /> 454F11 cods d-ha fV:� .•�{ ,. r �o p...ar�ia:ly haza-c_'us Oo�s i:e1C�t <br /> a: .tg day,ir3`'i:air;Lek;,•a t F'temperature~: <br /> rj Re11gerated;-ucK :h a 4;uJs <br /> am prcv.dina the following items.vi;n-n my boyar`or tie sawary cleaniN of foot prepa•atrorn utensils <br /> L <br /> Thrae.cr-par;;�;rl si^% <br /> OP <br /> ,.4n Ih-ee deep tu,:s (t;a.3ins .-8 incnrs --:r•1'1'h;:r i �- <br /> inm(are tabinSpGC 1 Cf i3•:t pc-..Epc-..galla'� d each <br /> S <br /> cUl t <br /> "=!?rgent. ),!edC^. :Q,Ig cicth3 i�;8a�,i 1�;�1:- <br /> / 5, <br /> - Te_t st-;Ps to rne—=sure sar{tati-an{pve!s fir biea_,sefuticr n^�asurin , <br /> QQap:7. <br /> Tub to stGre wiping::�oohs in blew.,,so[•at{C"1•"nBaSUrir:9 1 <br /> �. a'i 'C:7dl'1� •h? folk.)-wing 1,0: goequ3;c- nanj rt t { <br /> boo'�ly 7J"I '7 t t 3. 'IJ3 1 3�h8"af� <br /> '.aS• Rip. ,1' <br /> ,E-Y'da`er supply disperser vinh wernt xaati�r at a min;murn of'.OJ`i ;i.e. 5-20 gallon con*liner ;i'h Spi^y�ji <br /> One separate 14~tbucke.or bZs''1.`fir,1`e Cz�.;eCtio �f.•"1S?!�BSiS:'8t:. <br /> ,, .�Peper tovvals ar)d DiEE :g j f�zo!1+a:--r <br /> 13. Names of responsible persons:o be presen?in b'ao:h during ail hoars of operafion: <br /> " Inrportant'R A±I food vendor baotFs are subject tv insps,1ion Please ','lake 8 ropy of th,s apo!lcation in <br /> wepari Non Ior :hls event. A copy of this chewk Est crust be i t the booth at al ;-.airs of prepartion and op2rat;ar.. Return oriainal to festival coordinator three weeks prior to <br /> is en <br /> <<. Completed by: <br /> Signature Title _ DateV` <br /> r'— <br /> Healtlt Perris, i ���• ' <br /> Ej!C^f>N'�:.^,1�� �' e911:A[IM•tiia:Y <br /> ,•:s1 i� 1 •'��, <br /> r r� <br /> S:• •s:a-:or <br /> ---J `�� <br /> i <br /> 't:•_`':7J.-xr ...! �,�, ��- ..ear <br /> Ice Cooler <br /> _._.._. - ] i::^u•.r•t..a••'f i ia.:�.ESL•� I I <br />