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S A N J (all 0 lJ I N r-*nvironrnentm rioaim I)ctmrtment <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially llazardeu$ foods below <br /> 45`F(if food is used the following day, maintain below 41'F-temperature)- <br /> Ice chests '�efrigerator <br /> ( _ Refricdcraled truth [ ]e <br /> )ath and tubs <br /> Other(specify) <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> Three compartment sink, <br /> OR <br /> [j Three deep tubs (basins 0-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> s_o_lution(one tablespoon of bleach per gallon of water). <br /> ] ]Detergent,bleach,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 utensil wash within my <br /> booth: Raj\t, w v, .t h � ', A <br /> 7 Water supply dispenser will)wUarm water at a minimum of 100°t'(i.e. 5-20 gallon container with spigot). <br /> One separate tub(bucket or basin)for the collection of rinserwastewater. <br /> IN,aper towels and pump-style soap container. <br /> 13. Nantes of respon lblc pers. ns to be present in booth during all hours of operation: <br /> fvLo.. � d._ <br /> "'important" All food vendor booths are subject to inspection. Please make a copy of this application in <br /> preparation for this event. A copy of this checklist must be in the booth at all hours of <br /> preparation and operation. Return oriatial to festival coordinator three weeks )rior to <br /> this event. DWG <br /> 14, Completed by: <br /> lgnaturc Title Date <br /> saa ra! <br /> L}1ealth f'errnd - Ir'91'«aslr w.mr <br /> __ s anw wK hyra,q - - <br /> [a r <br /> 114PGf llaarl rq+aMs.._I <br /> i II _ Meaclr A wa+e/fo• <br /> II'roc:u a stu,c I - I !i-��, lq�ngwprq Wf�s <br /> ll _:77 _ Booth Inrlst be 00 <br /> Convem.Asphalt <br /> —� —] 1Mywood.Of a fare. <br /> 70 <br /> f - --- <br /> I"uI'a+n' <br /> swo and Willa' Ilrnae wa'ar Idead or I Waver <br /> 1;a11 <br /> Ice Cooler _ w _ n <br /> 1.Ira lcr Hags 6 lOW Cwrlo++rrs rsa.sl N• .a Coma nor <br /> sfwrYl6 renr•s url[r Me•grcrral+-_. _ .-_� .-�-.-.._ -».....-- <br /> I B68 I I lmee ton Minim I aluluklun Callfnrma 4)C005 I T ?09 468-300] t: 7011-16,1-0I M 1 www sj!juv wolohll <br /> 1'I Il1 16-09 Page 6 Co.11 'FIVIR FVCNr APP <br /> 0&Icirl I <br />