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1 <br /> r • <br /> 5A N J Q A Q U I N Environmental Health Department <br /> 10 1 am pruvid:ng the following cold temperalura control for the cold holding of potenl+ally hazardous loods bcrow <br /> 45 F(It loud Is used the Iollowin ma,ntarn below 41"F lemperature). <br /> Ice chrsls Refrigerator <br /> ✓ rtrigeratcri truck cc bath and tubs <br /> )Ihr�r ispr?r ilyl - -- - -- - -- - <br /> 11 Opro%,iding <br /> the fotlowing Items rwthrn my booth lot the sanitary cleaning of loud preparation utensil <br /> Wee mriparimen€sink <br /> OR <br /> ahree deep lobs (basins 6-8 inches minimum), one for soapy water, one to rinsing and one for a bleach <br /> 1r-1�l,ion (onr- lablespoon o1 bleach per gallon of water) <br /> L_Pcdrrgcril,b1n.1ch. and wiping Hollis(rie,ar»ng towels) <br /> {dub to str,re wiping cloths in bteach solution <br /> t 2 1LI JJam providing the lotlowrng for adecluale hand washing facilities. bud separate from ulr nsil wash withrn my <br /> hooth <br /> Ovarier supply 65pensor with warm water at a minimum of 100--F(I C 5.20 gallon conl tjncr with spigot, <br /> nnc scpmr to tub(buckel or basin) for the Collection of nnserwastewater. <br /> �aper lowefs,andrm�st�lc_saap container. <br /> 13 Namcs of responsible persons to be present in booth during all hours of opernivn: <br /> ♦_,Sa DQnran <br /> "Important" All food vrndor booths are subinc.1 to inspr_ciion Please make a copy of fts application In <br /> preparation for ttas evr�n€. A copy of this checklist must be In the booth at all hours of <br /> preparation and operalion. Return original to festival coordinalor three weer 'or to <br /> this event. �_ — <br /> 14. Competed by, -� owner a 21 2.1 SUBMIT <br /> Signature Title Date <br /> fir,••'- Frrn•It f� ' <br /> ["'-" m c.,t N. <br /> r <br /> `Jf — C.,rcn•le.AsPr +I <br /> __... I'",xid.ar o 1 art <br /> a?s:�a]a '- u tva•. '.+...•nar N.a• `L`1 f!13'�C <br /> _ Car <br /> (Ice cooler �SLt <br /> i <br /> rlrl <br />