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! <br />I <br />11. <br />OR for soapy water, <br />12. <br />pump-style soap <br />14. <br />| Paper Hand TowebHealth Permit <br />I Gulfing Board [ <br />Bleach <br />Propane Stove <br />?i <br />J <br />TEMP EVENT APP <br />Page 8 of 11 <br />EHD 16-02 <br />I <br />Garbage <br />Can <br />Sanitizer bucket- <br />bleach & waler for <br />stcriog v-iplng cloths <br />Booth must be on <br />Concrete, Asphalt, <br /> Plywood, or a Tarp. <br />'g] Refrigerator <br />r*T end hihs <br />! <br />(ice Cooler <br />®r^ <br />one for rinsing and one for a bleach <br />I Sletno v/Chofflng <br />Pish <br />| Propane Tank I <br />Extra lea Bags i Stainers must be <br />stored 6 inches off of tho grourM <br />^Important** <br /> Ice chests <br />i“X Keingerawo uuun <br /> Other (specify) <br />I am providing the foltowing Items within my bootn for washing: <br />■^Trhree compartment sink. <br /> Three deep tubs (basins 6-8 inches minimum), ione <br />solution (one tablespoon of bleach per gallon of water). <br />Soap and Water | <br />_ I ptfe&dinsublw <br />7~j| RiM»Wa-r~~j I Bleach and W»lJ~] <br />I 6 Gal Hand wash I----------- <br />I WastewaUr Ccnlalner <br />container. <br />Names of responsible persons to be present In booth during ail hours of operation: ______ ________ <br />1^6.Te'. hie —j—kcuj— __________ <br />“Mf^dvendor boSsare TusTb^Im^tooth'Vaii hours of <br />this event <br /> <br />15. completed by: TiUe__________ DaU 2||l|h <br />I 5-20 Gal. <br />T-rajragagasgSgSil V" I Hand v/osh Waler |