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foods beto* <br />10 <br />4SU F (if food is used the following day. <br />OR <br />Names of responsible persons <br />Comp'eted by Title <br />Health Permit <br />tee Cooler <br />TtfMP EVtNT M>P <br />lHDte-02 <br />Garbage <br />Can <br />Q Refrigerator <br />Q ice bath and tubs <br />Qlee chests <br />□ Refrigerated truck <br />□ Other (specif^ <br />DUGbaf- <br />l> water 'or <br />»«>svx) <br />Booth must be on <br />Concrete Asoha.i <br />PYerood, or a Tarp <br />SS™"' "“Sy"-- “ ’S”. .< <br />preparaion and operation Return, <br />this event <br />•J—— <br />Signature <br />Detergent breach, and wp.ng cloths (eleanmg towels) <br />□ Tub io store wiping doths in bleach solution <br />AM1 hand washing facmt.es. but separate from utensil wash wrthm my <br />I am providing the following for adequate hand wash g <br />booth