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1V I am providing the following c 2mpera`. re CDmfci fort 1@ .C;d h0!diny^Of potentl, aZ&rdoUS'foods eIG'tir <br /> } 45=F(if food is used the following day,ma+ntain below 41`F temperature): <br /> f]Refrigerated truck <br /> Other(specify) <br /> I am providing the following iter ns'-:dthin my bc,;:` tie sanaary cleaning of food prepa af+on utensi s: <br /> 1-1 Three compartment sink. <br /> OR n'-s deep tuws ;wasins _-3 es ;ne °c- __a .:a;er one fo s:n a-ld one fo.- a oleach ' <br /> ,Ore taGlespocn of bleac7 pe g:!: ri _, .. tor, <br /> zP(ergent,beach. and wiping cloths(cleaning to:.-s;. <br /> yAst st-ins to measure sanitation levels for bl.ac- <br /> pub to store'wip;ng cloths in bleach solutici neasu, -a "_: - <br /> 12. 1 am N'oAdiing ^.e follo,"/imq for actequ?_'2 ha-id 7 '9r 1 ==a at2 _ U`, «ash 'Wit dr. my <br /> boot: <br /> Lm IN ter supply disperser with warm water at a^1in:.? urn of',0'7 tie.5-20 gallon <br /> iA-e separate tub(bucket or bass^;-for the cC:;ectlo^ cf r ns?r."aste!°'Bter. <br /> Fq'/aperto',rd?ls and DumC-Stt':9 cJC conta:ner. <br /> 3 Names of respcnsi le persons:P be present in booth duriig al?hours of operation: <br /> "Important" All food vendor booths are subject to inspection ?ease make a copy of this ap:'nation in <br /> preparation 'or this event. A, copy cf . ,s be in the booth at a, . cjrs Df <br /> preparation and operation. Return original to festival coordinator three weeks prior to <br /> this event. <br /> '4. Completed by: %/��� ,r _ • �/ <br /> Signature Title Date <br /> Health Permit —.1I.-V <br /> Eon_7sca--ssr <br /> V n s n.8,a cr <br /> i r S::fhrj N,j �7G:5 <br /> 4 ' Enotn rest be or� <br /> -- <br /> _ I .or:^r8t3. sP"R 11 <br /> Tarp <br /> =rc:arxt'a�x <br /> Ice.Cooler <br /> E Q1E•.2 -E'.?EVENTPPP <br />