Laserfiche WebLink
,a!ly hazardous foods below1C. <br />11.I am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br />E3^l*hree compartment sink <br />OR <br />□ Detergent, bleach, and wiping cloths (cleaning towels). <br />U Test strips to measure sanitation levels for bleach solution measuring 100ppm. <br />U Tub to store wiping cloths in bleach solution measuring lOOppm. <br />12. <br />13 <br />‘‘Important*’ <br />14.Completed by: <br />I <br />Pape: Hand Towels <br />Propane Stove <br />Bieach and Water <br />Fire Extinguisher <br />Page S of 11 TEMP EVENT APP <br />□ Three deep tubs (basins 3-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br />solution (one tablespoon of bleach per gallon of water) <br />Bootl must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp <br />EHD 16-02 <br />11/4?TC <br />I am providing the following for adequate hand washing facilities but separate from utensil wash within my <br />booth' <br />chests <br />QP’tefrigerated truck <br />□ Other (specify) <br />Extra Ize Bags & Fozd Containers must ba <br />sterad 5 Inches off of the ground! <br />□ Refrigerator <br />□ ice bath and tubs <br />5 Gai Hand wash <br />Wastewater Container <br />Garbage <br />Can <br />Health Permit <br />^nc^i-h^dr^of operation:Names of re^^ibl^p^^^t^^1—55^ <br />IB <br />/ <br />Rinse Water <br />E^Water supply dispenser with warm water at a minimum of 100T (i.e. 5-20 gallon container with spigot). <br />Sanilizer bucket- I <br />Bleach & water for <br />storing wiping cloths <br />C One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />Shaper towels and pump-style soap container. <br />Extra <br />'Water <br />I Stem? w/Chaffmo <br />Dish <br />5-20 Gal <br />r- Hand wash Walar <br />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 original to festival coordinator three weeks prior to <br />this »vent. / — 1 / <br />Signature Title Date <br />I Soap and Water <br />I am providing the following c ;emperature control for the cold holding of pc <br />45T (if food is used the following day, maintain below 41°F temperature): <br />Sosa dispenser <br />If <br />Ice Cooler ■ i