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• 1 <br />?S.Papcr towels and pomp-style soap container <br />13 <br />••Important^* <br />14.Completed by <br />CTsi <br />Health Permit r lr>r..> a . >■ , <br />I <br />f/ <br />i • 1 i >ijh ■ i <br />■I ,i <br />K) Water supply dispenser with warm water at a minimum of 100' F (i e 5-20 gallon container with spigot) <br />I2<t One separate tub (bucket or basin) for the collection of nnse/wastewaler <br />I <br />SAN JIIAIIUIN <br />| Snnv il r.pflituw j <br />Title <br />ib I hrd'liti'i <4 |>ritr'rih.'»l| / fi t.'.irrU ,i, , ( <br />Names of responsible persons to be present in booth during all hours of operation <br />L7CA.nJ> <br />All foocl1 <br />preparation for this event <br />preparation and^perafion <br />this event. X CJr----- <br />I I, i .’v> I <br />^1 <br />ure <br />'■ TO <..<! <br />r- H.jnowish <br />if <br />'111] II I <br />I <br />l^klhitc deep tubs (basins 6-8 inches minimum), one for soapy water, one foi rinsing and oru? for • o n-r. < <br />solution rone tablespoon of bleach per gallon of water) <br />X Detergent bleach and wiping cloths (cleaning towels) <br />^7 ub to stoic wiping cloths in bleach solution <br />‘•a /•'i.nijinu the following items within my booth foi the sanitary cleaning of food preparation ijmnMl <br />i. i Fhioe compartnuml sink <br />I IIVJI 'Oflluciil.U Ih'.iltl- I fr.'- <br />rEV- <br />< ---- <br />I I '' * <br />r am puAi.iuii,) Hih follownni cold tnmpei.jhiio < onfiol toi the < <>l ' ‘ ‘ N..., <br />•■‘hl til ts used Ihp rollowing day maintain l»>h >w -11 I foinperahirrg <br />fXti'o bests | | KfMngoiatoi <br />! ’ Rcfrigemlcd tiuck I 1 Ice hath and futiu <br />Other (spocify) !<(.’ U At'XB •____ <br />0 U <br />j I t’ . I 1 ■ ' . . <br />\ <br />TVut - ■ <br />vendor booths arc subject to inspection Please make a copy of this application m <br />A copy of this checklist must be in the booth at all hours of <br />Return original to festival coordinator three weeks prior to <br />Dhte/ <br />i am providing the following for adequate hand washing facilities, but separate from utensil v/ash within m/ <br />booth