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ID <br />far rinsing anafor soapy water oreOR <br />12 <br />IT Water supply dispense w^ <br />13 <br />Competed Dy14 <br />> <br />fee Cooler <br />TtMP EVEHT APPP«O0e<X1i(.rtO 14-02 <br />[l(V01-"6 <br />Q Refrigerator <br />Q ice oath and nibs <br />or at’ ’ci <br />k-<v*<a <br />□ <»e chests <br />0 Refrigerated truck <br />□ Other (specif^ <br />Boctti must be on <br />Concrete Aspha.1 <br />P-Ytvooc or a Tan, <br />WO o» <br />h*m -*r ***« <br />•3>|'U|rU <br />Oate <br />FJjf One separate tub (bucket <br />VPaper towels and contamer <br />Na^so.respond Pisons to oepresennn boo.hdu^aUhours ot operate <br />^Titlo <br />Return ordinal to fw^aHgogtinator ihree weeksf QoMQ <br />wam waur ai a — C Wf (.e 5-20gahon conferw.th sP^> <br />or pas n) for the coiiecton of rinse/wastewater <br />••i^pSnanf AH fool vendor booths are ■ <br />p'epaiauon fex this event <br />preparaion and operation <br />this event <br />Signature <br />,eAA0^V'M»e' <br />o Three compartment »nk <br />^Detergeni tneac*. and wp.ng cloths (cleaning towels) <br />□ Tub io store w p ng cloths in bleach solution <br />I am prov.dng the following tar adeauaie hand <br />booth <br />1 " <br />m.n mv twoth for me santary cfoan.ng of food p<epara»« ufonsds <br />I am provkhnQ the fc*owing 'terns within my <br />„a5h.n9 'aettes. but separate utens.i wash my <br />[ Health Permit <br />one for a b each