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REC-oca <br /> A N aJ Q Q Q u Envlronmlmntal Health Department <br /> -1 N'T <br /> 1`0+n„n`" Cr vol ooss c11ow% 11vrr, <br /> ta. 1 am providing the following cord lemporaluro ountrol for the oold holding of potonflally hazardous foods below <br /> 5°F(it tonci is(isc�d the iallowin , maintain below 41"F tornporaldre): <br /> Ice chests Ilolttgorator <br /> efrtgerated tnrck ce bath and tubs <br /> t 1. providing the following items within my booth for the sanitary oleaning of lood preparation utenslt <br /> brae compartment sink, <br /> alp <br /> �9'1hree deep tubs (basins 6.8 Inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> (one tablespoon of bleach per gallon of water). <br /> tergeni,bleach, and wiping cloths(cleaning towels), <br /> ub to store wiping oloths in bleach solution. <br /> 12, f am providing the following for adequate hand washing facilities, but separate from utenali wash whhtn my <br /> booth: <br /> IDVater supply dispenser with warm water at a minimum of 100°p(i.e. 5-20 gallon container with spigot). <br /> �ne separate tub(bucket or basin) for the collection of rinse/wastewater. <br /> �aper towels and pgmo-style soar container. <br /> 13. Names of responsible persons to be present In booth during all hours of operation: <br /> M 11'1 k qVC <br /> "important" All food vendor booths are subject to Inspection. Please make a copy of this application In <br /> preparation for this event. A copy of this checklist must be In the booth at all hours of <br /> preparation and operation. Rel original to fesilval coordlnator three weeks prior to <br /> even <br /> tl`]� OuST1FLY Z G " s ,Z <br /> 14. Completed b <br /> I toe Titlebate' <br /> 5-20 6a1. <br /> Handwash Watar <br /> Heaffh Permit srerrow.Ghalhn' <br /> Paper Hann towels <br /> Sapp drspgnsar <br /> CUllfn 64afQ SanIfterbacket- <br /> R bleach awaterlor <br /> Knack srorin;vApin;Goths <br /> PrapaneS4ove <br /> Booth mu at be on <br /> Concrete,Asphalt, <br /> s Rywood,or a Tarp <br /> Propane Unk <br /> RnnpnnrWalar fllnseWolar Ellaachandwotor Garbage <br /> s y Can <br /> s °�' ,� Firer-xliMlufaha! <br /> f, waver <br /> _Ice Cooler h(In IHnnAWash <br /> Extra lcv lJops b!'nod�onlnhol�nwsr ha W+wlau, IN Call Mina( <br /> tbrad 8fnghoe a!!n!�/w prnrmd! ' <br /> 1868 E, Hazelton Avenue 15toakton, Gallfornla 0209 j T' 209 4eg�3420 f 2t39 46�-13138 www,s(gov,orglohd <br /> EH0 1B•U2 Papv.p a1-:t 1, TEIAP EVENT A1PP <br /> dBlf 9119 <br />