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i ’ <br />2— '.z -c lie foaowing for adequate hand washing facilities, but separate from utensil wash within my booth: <br />14. <br />r <br />Title Date <br />15.Completed by: <br />Health Permit <br />Paper Hand Towels <br />Soap dispenser <br />Cutting Board <br />BleachPropane Stove <br />Propane Tank <br />Rinse Water Bleach and Water <br />Fire Extinguisher <br />Ice Cooler <br />Page 8 of 11 TEMP EVENT APP <br />\ <br />EHD 16-02 <br />7/14/15 <br />ar* .-c -vg ine fc or. -g cold ter'perature control for the cold holding of potentially hazardous foods below <br />-z - " ’’zee s used the ’z c-a—c cay -raffitain below 41T temperature): <br />Extra <br />Water <br />5 Gal Hand wash <br />Wastewater Container <br />Garbage <br />Can <br />Sanitizer bucket­ <br />bleach & water (or <br />storing wiping cloths <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, ora Tarp. <br />Stemo w/Chaffing <br />Dish <br />5-20 Gal. <br />Hand wash Water <br />fr" <br />_ R-efiigerstor <br />5C ce bain and tubs <br />Zeerc-e-- : eazr r. p -g cloths (cleaning towels), and a tub to store wiping cloths in bleach solution. <br />= : zzz:r’*z'warewashing: <br />Soap and Water 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 />T Signature <br />~ - - :*; ■»= c.. -c :e~s within my booth for the sanitary cleaning of food preparation utensils: <br />SS <br />**lm porta nt** <br />subs 4ashs 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br />S3'...- : * zre sz espozr cf z each per gallon of water). <br />X. supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). A <br />seca'ate tub (bucket or basin) for the collection of rinse/wastewater. Paper towels and a pump-style soap <br />Names of responsible persons to be present in booth during all hours of operation: <br />. \hCWiz_ ______ <br />Extra Ice Bags & Food Containers must be I® <br />stored 6 inches off of the ground! ;