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Stern° w/Chatting <br />Dish <br />SCAT) dispenser <br />Paper Hand Towels <br />Sanitizer bucket- <br />bleach & water for <br />storino winino cloths <br />SANs,JUAUUIN Environmental Health Department <br />A - vs 'Ars, • - - - - - • ---------.,..4,,.,..n • .04 oCvn .0. <br />4°F (if food is used the following day, maintain below 41°F temperature): <br /> <br />Kl r;hP,sts <br /> fl RefrinerRtor <br />Refrigerated truck /Erfce. bath and tubs <br />fl ntin,- <br /> <br />11. I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <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 />12. I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />0 Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br />z2 One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />O Paper towels and pump-style soap container. <br /> <br />13. Names of respqRsib1=Ins4toe, pr sent in booth during all hours of operation: <br />kta <br />All food vendor booths are subject to inspection. Please make a copy of this application in <br />reparat.: or this event. A copy of this checklist must be in the booth at all hours of <br />'rep - <br />, <br />and aeration. Return original to festival coordinator three weeks prior to <br />tn = <br />Pk' <br />ArY' <br />L-11,,I4k •-tee.e. I <br /> 1 <br />Cutting Board <br /> <br />lc:DI I <br />I,f1=7-1)ULXJ <br />I) I I <br />Soap and Water Rinse Water Bleach and Water <br /> <br />-ice txtinguisner <br /> <br />( Extra <br />Water <br /> <br />Ice Cooler <br /> <br />5 Gal Hand wash <br />I stored 6 inches off of the ground! <br /> <br />**Important** <br />14. Completed <br />5-20 Gal I 3 <br />Hand wash Water I <br />,eirei4i-deAdmatiA--- id?? ) <br />Booth must be on <br />Plywood, or a Tarp. <br />r Garbage <br />I %JUL/ I I.IL%JII rVIIUI VIA.A.."1.4JI I, S..QIIRJIIIIØ J.IJ,J I 1 LAI 0 .14J4.1'..19.Z.1J I I GU .1•V•.1•SJ I ,JAJ I VI V I VW . *NU V AJI VI CI Ita <br />EHD 16-02 Page 8 of 11 <br />06/29/2023 <br />TEMP EVENT APP