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Environmental Health Department <br />; VVakp' titipply dispenser 'w-’h wairr; wale- al a minimum of WOT (i.e. 5- 20 gallon container with spigot). <br />!. J O wpi’.rate tub (bicKei ur t asin I tne collecilon oi* rinse/wastewater <br />[J F'r'-pe.’’ trivels and nmnp.-stye soar co/it.iicei. <br />Maines u ’asparisible parsons to be •; re'-ert in booth during ail hours of operation: <br />**linf ortahl:"' <br />Co r, h1 j tft <br />Health ^iriirU ■J»•/ <br />1 EZEk <br />r T7 <br />Ga>lj-3OH <br />_/ <br />- ■ ;5? <br />■ .'ti <br />----- <br />Ik <br />We Con; er <br />1 <br />I am pro -'idi-fg the following items within niy booth for the sanitary cleaning of food preparation uteo.sii <br />Q Throi) conipaiiment sink. <br />I am p'c-'/nii'.g the folio/ving for ?idequa.m hand washing facilities, ou< separate from utensil wash within my <br />boolf: <br />■ _j I nr j.?, de:.- p tubs (basins 6-8 inrJ es minimum), one for soapy watei one for rinsing and one fur a bleach <br />saluii y\ (;>f Ki t.iblespoon of bleach pe g 'dlon of v. aier). <br />L] D )l>::n|'-:,*>. bloach, arid wipinc cloths (cleaning toweis) <br />'i Tub Is wiping c'olhti in bleart soiiilion <br />SAN JOAQUIN <br />• •. i r< I <br />fiOOtll iT)U5t l>e <br />Ooi'C'chj .Asrj'V-j: <br />'< .•AO: ;!. ;;f n l g'. <br />■w\A' S|g;.j • > (j <br />'•'r.-vp ■■• <br />1| 1 <br />V <br />- • J r’ 1 • <br />I rwtl 5 .VfcUh ti:’ <br />i,l . r.tjv.' l., - i r. <br />I_i= <br />siuuLJi^ i <br />I air. Jicvici j the foliov/ing pokl iemoei : turt rcniroi for ma cold holding of potentially lur’ardous foods oelow <br />45 r J to.; i is used the following day, mainfoin below 4 kF lemperatme). <br />j5] lei 'I'dSi?. L.. -1 <br />( "] R-i.?'.ed truck „ f‘j bath .and tubs <br />0Othe (spuoM______. ....___________________________________________ _ ___________ <br />.J <br />...L~h:L!t“ir <br />pi'i l....................j <br />’■I'jO a <br />I- H. <br />• 1? <br />.UdliU___________ <br />t <(■■ >:■) . • <i • It <br />' h« • .f > .jf ,J <br />Al! foccl vendor are ’subject lo inspection. Piease make a copy ol Uris applicEition in <br />preparation for this r.-remt .A copy of this checklist must be in the booth at all flours of <br />mmarmiiri dud o[ r' ion Return oiiqinal to festival coordinator threo weeks prior to <br />Signature Title Date <br />; .7- i <br />vAi'ii. «vue<