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❑ Other(specify) <br /> 1 - 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensiis <br /> ❑Three compartment sink <br /> OR <br /> �r#Tree deep tubs (basins B-8 inches minimum), one for soapy water. one for rinsing and one for a bleach <br /> tion(one tablespoon of bleach per gallon of water) <br /> xDetergent, beach, and wiping cloths(cleaning towels) <br /> Tub to store wiping cloths in bleach solution <br /> 12 1 am providing the following for adequate hand washing facilities, but separate from iltensil wash within my <br /> booth. <br /> Water supply dispenser with warm water at a minimum of 100°F(i e 5-20 gallon container with sr 00 <br /> 1- ne separate tub(bucket or basin)for the collection of nnse1wastewater <br /> ,,raper towels and pump-style soa container <br /> 13 Names of responsible persons to be present in booth during all hours of operation, <br /> "Important" Al food vendor booths are subject to inspection Please make a copy of this application n <br /> preparation for this event P copy of this checklist must be in the booth at all hours of <br /> preparation and operation. _urfa )riginal to festlw i Cgvrr).n,­.c-r twee weeks <br /> this event <br /> 14 Completed by: af .VCS-- <br /> �� <br /> Health Pe.nmit =war cwc <br /> U�fi 1 <br /> Papa"w-6 Ta e s <br /> Soap d _ <br /> C:n�.q Boaev <br /> &-r+tirr bucket. <br /> PPM1W`e gam.� I I � ' slernQ­arq ck.ihs <br /> Seep and wain R-"wafer 131 o h x+n wakr <br /> Garbage <br /> Can <br /> pine <br /> YVa,�r <br /> J <br /> Ice Cooler .5GM it"wash <br /> E.crra�9ap,b�Conra<nars rrwx ar w:s�are Grta.w <br /> stores a„Knes a►a rrr pm,.d <br /> COMPLETE BOTH SIDES AND RETURN WITH EXHIBITOR AGREEMENT <br />