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11. <br />OR <br />12. <br />Paper towels and pumo-st^e seas contarar. <br />'3 <br />/•a.Completec by. <br />Title <br /> V <br />Stir- j v:.rCrtfi n; , __ <br /> I =ape biCr.'T^/es <br />r'ccani Tank <br />!ce Cooler <br />Fa;-: - o't TEr3 r A5=» <br />=33$1 <br />\ <br />! <br />Gs'bsoe <br />Oar' <br />Narnes <br />'Ty? <br />5J3 G« <br />Kara .\*»T VrsJa- <br />yL <br />5 Ga -ar a .-.es.-. <br />■'25 j-*:«■ 2;r^-sr <br />Water supply dispenser with warm water at a rnr rnum of 100°F (i.e. 5-20 gallon container witn spigot) <br />X^OP® S3Parat2 tub (bucket or basiri 'ortne collection, of rinsaAvastswater <br />___L <br />Sc2p sr: 'A’sk- <br />E7 <br /> Refrigerate.- <br />ce oath and tubs ■ <br />Sanr.i. t_dr,5:. <br />5‘?3C- i ^sier'c- <br />$t:rn$ .v.ar; z'Gff-s I <br />Feaitn Perm.' k <br />'' ai2 P'°^:r3/f-e 'ollowir!9 =0|d tempe-axre control for the cold raiding of poteraally hazardous foods deicw <br />4o F (if .oca is used the following day, maintain below 41=F temperature): <br />Kfice chests <br /> Refrigerated fuck <br />pother (scecfy) <br />am o-ovicing the folia.ing for adequate hand washing fac i ies but seoa-ate from utensi wash within mv <br />booth' <br />f _________ _________________ <br />£, fa .:e Ssj* • -zzi Ccr:3 '9n c.s: zs <br />5 =e~ a-*3 .Vite.- <br />I am prov.cing the following items within my booth 4or the sanitary cleaning of hood prepa-aton utensi si <br />O Three compartment sink <br />^Th-ee deep tubs (basins 5-S nenes minimum), one for soapy water one for rinsing and one for a bleach <br />solution (ore tabiespocn of b'each per gallon of water} <br />Detergent, bleach, and wip ng cloths (cleaning toweis;. <br />Tpst st-ips to measure sanitation levels for bleach solution measuring lOOppm. <br />X Tuo tc store wiping cloths in bleach solution measunng lOCppm. <br />-'C:2*b S:c.9 ■ <br />"t in booth duringal! hours of operation:a responsible persons to be present in oc <br />••Important** Al! fooo vendor booths are subject to inspect on. Please make a copy of this application in <br />preparation for this event A copy of th:s checklist must be in the booth at a1 hours of <br />preparation and operation. Return original to festival coordinator three weeks prior to <br />this T <br />Signature <br />EhO 1S-C2 <br />10.