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<br />8. <br />S <br />□ Three compartment sink <br />OR <br />C? De-ergent, bieacn. and w.pjng doths (ci6ar«ng towete} <br />□ Tub to store wiping croths in Dteach solution. <br />IQ. <br />13 <br />ta <br />Date <br />ro«r .-4»<rt r>r«' <br />c’aoo 4 at f."EMP cVEKT APP <br />EiFl <br />t <br />O Threw deep tubs {ba&ns B-S inches minimum), one fcx soapy water, one for rinsing and one for « Weacb <br />solution (one tayfesooon of Lleacn per gallon of water} <br /> <br />I em providing the folfoweig cokl temperature contra for foe cted holding of potentially nazarcous twds oe-crw <br />45*F (it fiacd is used the fotowing day, maintain below 41’F temperature;.: <br />BO 1» Ct2 <br />•.0H3.U9 <br />H <br />Gartw- <br />Can <br />IZ Ice Chests <br />C RefngBrated truck <br />O Other (specify'; <br />! am providing foe fofowi.ng for adequate hand washing facilities, but separate from utensil wash wnhin my <br />booth. <br />•■S! G* <br />-•«':« tv V'>r <br />O Refrigerator <br />Q Ice bain and 0 as <br /> <br />l am providing tite fallowing items within my booth for the ssnrtary cleaning of food preparation uiens-’ls: <br />lYVvv^ tr <br />.....\c <br />I .iwaw’cej -----, \ <br />□ V&ter suppty dispenser with warm water at a mir.imum of 'OO’P (Le. 5-20 gator, container wfo spgot). <br />One separate f-» (bucket er basin) for tna cottecijon of <fose/>wast9watef <br />;Zj Paper tweis and »oap contanec. <br />. Ice Cooler <br />.. . I <br />Names of responsible <br />'yfo.Vrv <br />”lmportanr* <br />1 »> <br />.SMAaMtw Ccncw <br />------------—J <br />£ <br />F^u«'A'«nr <br />! xet». <br />; &>*9> I *»«• t j< <br />___________ ■ <br />'''V—> 1 I ! ! c.-------I Bocih must be or. <br />TV-----------* H A if H T>. | CencnUeW^. <br />u W.) I ?'^osa crS_TB2 <br />. -—... I i f------- <br />inn Arw* | S Is; X i <br />I I <br />e persons^o be present in bocih dunng all boure of operation.. . <br /> wvmcw'i ^ocLVvAtx yvwxUaCi________ <br />All food vendor booths are subject to inspertcn. Ptease make a cony d fo>s appfioat'cn in <br />preparation for this event A copy of this che«k!:s$ must be m the booth at ail hours of <br />preparator. and operation Returp original to festival coordinator »hrpe wwkg prior to <br />♦his event <br />Completed by: <br />signature <br />; Haaltn Perm?: p <br />«*rc*q<«xwi i