Laserfiche WebLink
32=17 imageZJPG <br /> ityc$ x'..'+ �.,-c�, .. r:.: � y>r'f�.7'!�'"►t+`i!lt ,r[7/'!`..T'Sii '. ... ...�* _!'�6Ih. ... <br /> `1 10 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45°F(if food is used the following day,maintain below 413F temperature) <br /> ❑Ice chests ❑Refrigerator <br /> ❑ Refrigerated truck ❑Ice bath and tubs <br /> ,: ❑ <br /> Other(specify) <br /> 11 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensils <br /> irk <br /> ❑Three compartment sink <br /> OR <br /> ❑ Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> solution(one tablespoon of bleach per gallon of water) <br /> ❑ Detergent, bleach,and wiping cloths(cleaning towels) <br /> ❑Tub to store wiping cloths in bleach solution <br /> 12 1 am providing the following for adequate hand washing facilities. but separate from utensil wash within my <br /> booth <br /> t <br /> ❑Water supply dispenser with warm water at a minimum of 100'F(I e 5-20 gallon container with spigot) <br /> f ❑One separate tub(bucket or basin)for the collection of rinse/wastewater <br /> 4 ❑ Paper towels and pump-style soap container. <br /> 13. Names of responsible pe ns to be,Rresent in booth during all hours of operation <br /> I'l <br /> "Important"' All food vendor booths are subject to inspection Please make a copy of this application In <br /> LW 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 /> this eNent. q n <br /> 14. Completed by: /( �I lam__ ��IQN- ?-r <br /> signature Title Date <br /> .. 5.20 Ga. <br /> Health Permit Ha waSh Water <br /> sterno w.CtaHing <br /> o�Sn <br /> Papr`r Haan TgwoV; <br /> Soap d.spen�r <br /> Cctnng Board <br /> S-1, buck 1, <br /> r' bleach 8 hater for <br /> Propane Siove Blanch s±a,ng wiping clNtis <br /> tfs: <br /> h'} Booth must be on <br /> O1 <br /> Concrete,Asphalt. <br /> Plywood,or a Tarp <br /> T.* <br /> Soap and Water Rose Water Wearn and Water <br /> y Garbage <br /> d' <br /> Fire Exttngmsher Can <br /> 1° Enra <br /> c� <br /> Water <br /> Cooler '=ru.,i =2+'i YY ,� 5 Gal Hand wash <br /> Edra ice aags d Food Containers must be Wastewater Contaner <br /> - •,.•".._.. - sfo+ed 6 inches off of the grouwy � <br /> a!;'I <br /> 1"2 Page H of 11 TEMP EVENT APP <br /> r '.._ � ••R:.MH'na.fMi���wNs.-.T7&:�ti :�i.....:�_. ' (g'a <br />