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SAN JOAQUIN <br />10. <br />11. <br />OR <br />12. <br />1 <br />13. <br />Is i lan A j <br />14.Completed by: <br />Paper Hand Towels <br />Soap dispenser <br />Bleach <br />Sterno w/Chaffing <br />Dish <br />Booth must be on <br />Concrete, ksphatt, <br />Plywood, ot aAarp. <br />5-20 Gal. <br />Hand wash Water <br />TitleSignature <br />Health Permit -- <br />Names of responsible persons to be present in booth during all hours of operation <br />ISilanAi Mivigb_____________ <br />**lmportant**All food vendor booths are subject to inspection. Please make a copy of this application in <br />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 festival coordinator three weeks prior to <br />______Ihohs: <br />d v Signature Title Date' <br />V <br />Sahttizev bucket- \ <br />b\each & water tot \ <br />stonng wiping doxhs \ <br />SZWater supply dispenser with warm water at a minimum of i o f . <br />ffl^One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />Q^Paper towels and pump-style soap container. <br />...* <br />1 zc■ <br />45 Ffrffood is used the'c <br />ST Ice chests <br />Q Refrigerated truck <br />□ Other (specify) <br />□ ThNeeTrn9^'0110""3'^™- - <br />—i iiree compartment sink. <br />booTh^07^'09 thS fol'owin9 for adequate hand wai t <br />Cutting Board