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SAN JOAQUIN Environmental Health Department <br />11 <br />OR <br />12 <br />ETwalsr supply dsperaer wsh warm waler at a nwtimijm of 100*F (* a 5-20 gaSon container with spsgotl <br />13 <br />’Important*’ <br />14..Complstsd by; <br />TitleSignature <br />rjtkw T <br />* ><s t <br />■sos <br />I am providing ms fatowmg for s>d#g«aw hand washing facMes. but separate from utemil wash within my <br />boom. <br />Wm v <br />ETOna separate tub JbucMe! or basin) for tee cottecbon at rinje/waS|Bwa.ter <br />Fl Paper towels and puma-sMe saae contamw <br />Names cf responsible persons to be present in booth dumg all hours of opemSon; <br />&MW Si® i r &«O hls-x®; <br />fem <br />All f<xxt vender booths are sublet to to^ctscn Please make a copy of this apptaion in <br />prep^ratx>n tor this event A copy of ths checkkst must be n the booth at oil hours of <br />preparation and operation. Retum original to festival coordinator thro wpoks pnor to <br />thh_..wtnt t i > i» <br />Oat# <br />W£? £ Hsisitan Avtji'W s Sw^’en - ■' .>i ■» 15205 I T 200 4t 420 i f 205 484-01)8 j ww® arglshg <br />t»c r«va riw* ®* M rtw r»E!«*w» <br />| Ice Cooler <br />lam prowimg ths fotowng items witan my booth for the santlwy cleaning of food prepwabon utensil <br />Q Three compartment sink <br />I am prwWng the fatowng cold tempmiw® control for tea «tt hotchng pwent.»8y hawtfous texta bataw <br />45’F (it fool« weed the JoSowwg day. manlMn below 4TfF fomperatare); <br />ETtec chests O Rafngerator <br />□ Refagerated fcuck Q ta« bath and tabs <br />□ '■.'*r ' ;< ’■< ............... ........; . ............... ..... . . . ...... <br />0 Thies seep tubs (basins 6-8 mmw minimum), one for soapy water, one for rmwfl and one far » bteaeh <br />solutjon lone tablespoon of bleach per gate of water) <br />H Datergarti. Weach, and wiping cloths (cleaning towels) <br />0 Tub to store wipng doth* in bleach solute <br />Berth iwsj fee w <br />CarKrses AtpfeM. <br />RywoaS. or s Tnrp <br />[ Hearth Pymrt