Laserfiche WebLink
11.I am providing the following items within my booth for warewashing <br />□ Three compartment sink <br />OR <br />12 I am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br />tergent, bleach, wiping cloths (cleaning towels), and a tub to store wiping cloths in bleach solution <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my booth:13 <br />14 g^ll hours of oper; <br />Completed by^/_15. <br />Health Permit n Paper Hand Towels <br />Soap dispenser <br />BleachPropane Stove <br />u <br />Propane Tank <br />Bleach and Water <br />Fire Extinguisher <br />Ice Cooler <br />Page 8 of 11 TEMP EVENT APP <br />I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />45°F (if food is used the following day. maintain below 41^ temperature): <br />Stemo w/Chaffing <br />Dish <br />□ Refrigerator <br />□ Ice bath and tubs <br />Garbage <br />Can <br />Sanitizer oucKet- <br />Dieacn & water for <br />stonng wiping doths <br />Booth must be on <br />Concrete, Asphalt. <br />Plywood, or a Tarp <br />Extra ice Bags & Fooa Containers mijs! be <br />stored 6 inches off of the ground' <br />5 Cai Hana wash <br />Wastewater Container <br />5-20 Gal <br />Hand wash Water <br />EHD 16-02 <br />7/14/15 <br />V\ <br />\ <br />. 0IE1 <br />Rinse Water <br />'Tjdce chests <br />'LJ Refrigerated truck <br />□ Other (specify) <br />Signatured Date <br />► <br />10. <br />r L <br />‘‘Important** <br />Scap and Waler j <br />____________I <br />Title <br />[z Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot) A <br />s&parate tub (bucket or basin) for the collection of rinse/wastewater Paper towels and a pump-style soap <br />container <br />Extra <br />Water <br />Jigmes of responsible persons to be present in booth during^ll hours of operation <br />rXcbfoic--. l\rw y / P IrPl i <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 event. <br />i^Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br />solution (one tablespoon of bleach per gallon of water).