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FROM FAX NO. an. 2^0 2013 1:38PM P2 <br /> r• v <br /> SA N:yJ OA Q U I N Environmental Health Department <br /> ___f 7 V-- <br /> - 18m providing the fv%3v*g coldLLeanperahue Cord for the Cab hok&V of Potentially harar imm foods below <br /> 45-F(if food is usetl the fbilo"day,m2hitain below 41"F tankperabxe): <br /> [__1 toe chests p Re&iq� <br /> ❑ Refriger aW truck 0 tme bats,and tubs <br /> L] other( ') <br /> i 1_ 1 am providing the fdlowing items within my booth for the sani(WY dewing Of food preparation utensil <br /> ❑Three compartment sink. <br /> OR <br /> ❑ Three deep tubs (basins " axhos ummmum) uric for sa&py water, one for rinsing and one for a breach <br /> solution(one tablespoon of bkoc h per gallon of water)- <br /> ❑ Detergent bleach,and wong doths(deardW Umpets)- <br /> E]Tub to store w9*9 doff in bleach Saution. <br /> 12. 1 am providing the fvUawtM for adequate hand aching fac&fiM but separa <br /> tom: to from UtenS9 wash vw fist my <br /> ❑Water supply ditenser aNh warm aster at a mkdmurn of 1 OO-F(Le_5-2D gaSan wrdairw with Wk <br /> ❑One separate tub(bucket or basal)for the collection of rin' <br /> ❑Paper towels and pump stole slap coa>tkner. <br /> 13- Names tJf MSPOnSible pefsons to be M serd In bootie du es of <br /> - ring a0 ho <br /> -- ' <br /> "'tmportanit' Aff food vendor booths are sum to avpec6M. Please make a mpY Of this appTecatbn in <br /> M811 m far this event. A copy of this died must be in.the booth at aA hods of <br /> Mqxffabm and operation. Return arinMI fo fes&rj�throe weekstxwow to <br /> this <br /> 14. Cpmpleted by W <br /> —�f Two Date. <br /> 6'2o Gnu <br /> Health Permit HMW w," <br /> pew F�Towpds <br /> Cvuiw�g Board <br /> Eavlt�DuBcet <br /> etasrh d fYeUlr fa <br /> FYopmre Stove MUM sEo<ag Mlpetg cloafs <br /> Bmth ffmist be on <br /> Concrete.Asphalt <br /> Pry�'or a Tarp <br /> 9e137� Snws*Nk� fa[eLn W�Rar' HrOFr�anA 11V� <br /> r—a C�1 <br /> ©Ara <br /> Ice Cooler <br /> . k''� �'rm�'6 FAcdCunrsl®�f tw rraceo.�a,r Gbr�r <br /> sued 61exf�es oQaf�gres� <br /> R e ccee i vie d T i m ebcM a r, 14. 3 2 019,c 2 : 39 NdN o. 4 7.9 7n5 � r M9 469_�a201 F ��-0138 � w,�„�_*mhcL c6rn <br />