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I Department <br />w <br />n <br />OR <br />12. <br />••|«npcrtant“ <br />M.Completed by. <br />Health Permrt <br />F«M> tMM IBM* <br />ItiMh <br />Ice Cooler <br />P*## «<11 11 <br />kUiHMwMit <br />WutaOKM Owmhm <br />HO <M. <br />twvwunWM <br />I <br />SMoarkucM- <br />SANJOAOUIN <br />’ COLIN IV <br />r\i <br />Garbaqi? <br />Can <br />mippty (tsponsof vmth warm water at a minimum of 100*F (i.o. 5-20 gallon contaiw w*h w>t<r ■' <br />« separate tub (bucket or basin) for ttie coHection of rinse/wastewator <br />z towels m d pi:mp-sty.l<? soap container. <br />13. <br />Ze*'OnAvO,lu< 1 ahlwnw962061 F 209468 14201 F 209 464-0138 | wwwsjcahd.com <br />67/V1Z PW* »'ll 11 ! fcMP LVf.NT APR <br />j5 <br />S.1TW of res^n^ile ^er^ons t^^pre^erU^nbyth during alt houro of operation <br />All food vendor booths are subject tn inspection Plsaso make a copy of this ipplication in <br />preparation for this event. A copy of this checklist must be in the booth at ail nours of <br />prepaiatrrjjuQnd opetfition. Return Qrfnjnal to festival coordinator three weeks prior to <br />Signature Titre Date <br />IQ <br />II' <br />I't’**'* <***■ L) Refhowwtor <br />( ? R«Mtl***M Imcfc O low b.»lh end tub* <br />n (w>« ________ _ _______ ________ _______________ <br />Q7^Twi)2'i*Wm W’h,n'nybOO,fl,f” ,h°*'no"'''ycteB,”ny 61 teodtwef>sr'','<'nu’4’rau‘ <br />dW1' ’'!hfi (•“’W *■ 1 mchen mintmtBH). ono for soapy waler, one for nnemg and one for a Wear* <br />^■tsm tone Wk-sponn of Hoech nef gallon of wator) <br />■ 1 'Tom bk..K:h, .and wr lfl c|(Mb . (clc..iMn!> towriH). <br />h-WH 4> »o More wiping ctaihn m bteach solution <br />■ <*■ prowfing the f.Mtowng few adequate hand washing focAtm. but separate from utanstl wash W .m my <br />Doom. <br />Booth must be on <br />< imcrele Asphalt, <br />f’tywood. or u Tarp <br />— <br />T/'lllU w