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C • 1 <br /> 10. t ast; providing the f Ycxving cod n-Terature mntMi',Of the rod noUng of potertiaff hazardrus fao4s beie,v <br /> 45'F(,food is used the fclfoMzg dav,maiitainbelow 41'F tempei-3turell: <br /> I dhes:s `Refig tot <br /> J Refriol—mled L uct r�bath and'fs <br /> Otner(specify)_ <br /> 1?. I am prov;ijing t''te f0towir ig itarns,*R-En my b tl.!or the sari tar;c!•eaning of food preparation Oernsi s: <br /> OP <br /> .f hr deep tubs (basins 5� Sncbas 7 it irr�:anj, one for soapy z*raver, one for ruing and Ms2 `or a bleach <br /> -on(one tablespoon of bleach per gait n of fir) <br /> b'es--h.and driving ckfs <br /> rest strips to measure sanitation s levels for bleach st�txx,!r?3suring t 44#rl. <br /> —sb to store<oirg cio hs in bi-,.aC;solutian measuring 100,PPm, <br /> 12, l ant providing tie -00coiYrng for at--W=1ie hand Alashi-g faG�'OjaS_ �J t Sa .'3t? fro V£ SV*?Si', �vit?vire fry <br /> booth: <br /> Water svPs;y dispenser w h warm vrater a,a rtminMum of'tom�if.e.5-20 gallon con;a nar w.-h spigv,j. <br /> �C)Mie <br /> separate tub(bucket,r bas`,n)for tire cv ieCtio-n-f 'Nast 'YBic^. <br /> " 'apsrtorlets and puma-sty sir, nta, <br /> 13- Names Cq esponsibis-mrso_ns to be zisent In booth dA at!hours o <br /> *.Important' All food vendor boott S are SLbjec,t3 inWeec,fan. Pose make a copy of;his appticatbr. in <br /> preparation fo! ;his event, n copy & this cheCk!ist musf be in the i3aoih al al' pours of, <br /> areparat*i m and operaVon. Return oricrinal to fes`ivai coordinator three reeKs erior to <br /> this av nt <br /> 14. Completed br. <br /> Sig t re Title <br /> S-M am <br /> Health Parmit w�c s.t vxr?-7-77 a; <br /> 1j1 a { <br /> l @OCR`:rmv beUAYLX-j <br /> E i i <br /> r <br /> l Lj Plj*:l? or a Tarp 3 <br /> t <br /> s _%low Bast s,aw,_ <br /> FW*�X}':Q24 AY -Br' i <br /> .XII <br /> f"-----_...._ <br /> Ice Cooler -- <br /> i:.vinr-�, f <br /> v s zryr7,s��c_C*"- i:;z^:=e r,.:.c S�. Y+ .s -�- <br /> Go- <br /> tl <br /> E1;;1E.r2 �geSaf7t <br /> T=r?c :'M?ES'E1TAPP <br />