Laserfiche WebLink
10. <br />11. <br />OR <br />12. <br />13. <br />•’Important” <br />14.Completed by: <br />! fifV Tort’s J <br />1 <br />roi 4--t <br />J'•TKHW Tr*7 <br />Ssf* arKSi.Ts.-sr <br />I <br />f -rc“as cTs/ jrosrsr <br />Pejc Sof-H TSg? EV'ETT APP <br />1j <br />i 5xrg <br />i $?5¥B <br />r Boov-. mus? be on <br />■Gonsrete. fep’-en. <br />Ply’.TS’Si or a Tarp. <br />\ <br />7 <br />5 Ga .Mar-- <br />.’•to.ifc COTX^cr <br />\ <br />sa sa <br />HS’WwssS-Wa’a- <br />Eko ie^ <br />■SlrAdi <br />Co-opA-e/ <br />Title <br />i <br />j Sxsiwytsw <br />! a«eat <br />s 5i5SXSMSSX^S5S^rt ’*** k‘a^ *« <br />^lee chests ^Refncerstor <br />Q Refnoerateti tuck {£§ >)g^ g^d tubs <br />Other (specify) ^C-&^?ycr <br />Garbage <br />Can <br />Sss;;»- tasaes. 1 <br />O.Trorfri : <br />SW-J5 i__ <br />Cfs, i I <br />1 am providing the foHcwing items whin my booh for the sartitary cleaning of food preparation utensils: <br />’_ Three ccmpartrnent s^nk. <br />one for s03py water’fcr '*nsing and one for a bleach e^-j,.„n ion„ taotespocn of bleach per gafion or water) <br />^Detergent, breach, and wiping cloths (cleaning towels}. <br />Surest strips to measure sanitation levels for bleach solution measuring 100ppm. <br />■> up to store wiring Cloths in bfeach soiuticn measuring iOOppm, <br />^providing the foibwing for adequate hand washing facilities, but separate from utens.n wash within my <br />Cj&Vater supply dispenser with warm water at a mmwm of lOOT (i.e. 5-20 gallon container with spigot). <br />l^One separate tub (bucket or basin) for the coiiection cf mssAwastewater. <br />^^53~er towels and .purno-styte soap container <br />Names or responsible persons to be present in booth during ail hours of operation- <br /> <br />f--------------X . <br />’ Ice Cooler i t » <br />A.’ food vendor booths are subject to i."speptfon Please make a copy of this applicatbr. in <br />preparation for this event A copy cf this checklist musf be fei the booth art all hotffg of <br />preparsiion and operaton. Return original to festival coordinator three weeks prior to <br />this SVxpt J '■------------------------ <br />I Health Permit'h