Laserfiche WebLink
T ‘ <br />’.-------. 'z~'~ :z' warewashing: <br />•e~ s .*. :r :n my booth for the sanitary cleaning of food preparation utensils: <br />e *'• owing for adequate hand washing facilities, but separate from utensil wash within my booth: <br />15.Completed by: <br />Health Permit <br />Paper Hand Towels <br />Soap dispenser <br />Cutting Board <br />BleachPropane Stove <br />u <br />Propane Tank <br />Bleach and WaterSoap and Water <br />Fire ExtinguisherQ <br />Ice Cooler <br />TEMP EVENT APPPsge 8 of 11 <br />Extra <br />Water <br />5 Gal Hand wash <br />Wastewater Container <br />Garbage <br />Can <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />=HD 1S-D2 <br />. =:=■ s_z" : crspenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container.with spigot). A <br />-bucket or basin) for the collection of rinse/wastewater. Paper towels and a pump-style soap <br />_ zez- =- <br />Stemo w/Chaffing <br />Dish <br />Sanitizer bucket­ <br />bleach & waler (or <br />storing wiping cloths <br />zee: --r= z=s _= 6-5 “Z'es ~ nimum). one for soapy water, one for rinsing and one for a bleach <br />ore zsz eszzz~ z: z e~z~ oer calion of water). <br />Exira Ice Bags & Food Containers must be <br />stored 6 inches off ot the ground! <br />Z ZUDS <br />Title <br />I7 no/vj 17 <br />Date <br />r>’/“ <br />Rinse Water <br />o: 2 :=-2=’=:_-e zc-rc! for ths cold holding of potentially hazardous foods below <br />be’sw 41XF temperature): <br />Names of responsible persons to be present in booth during all hours of operation: <br />VI (^.6 i H . <br />A <br />Important** <br />: . 2 “2 —e <br />“TCC $ J <br />5-20 Gal. <br />Hand wash Water <br />Z‘=-e-—em 2 eec- 2 oths (cleaning towels), and a tub to store wiping cloths in bleach solution. <br />• <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 />Signature 7