Laserfiche WebLink
10.ially hazardous foods below <br />11. <br /> Three compartment sink. <br />HD <br />X-Z I \ <br />12. <br />13 <br />14. <br />15.Completed by: <br />Signature <br />I <br />Paper Hand Towels <br />Soap dispenser <br />Cutting Board <br />Propane Stove Bleach <br />0 <br />Bleach and Water <br />Fire Extinguisher <br />Ice Cooler l <br />Page 8 of 11 TEMP EVENT APP <br />Soap and Water Rinse Water <br />EHD 16-02 <br />7/14/15 <br />Sterno w/Chaffing <br />Dish <br />Extra <br />Water <br />5 Gal Hand wash <br />Wastewater Container <br />Garbage <br />Can <br />Sanitizer bucket­ <br />bleach & water for <br />storing wiping cloths <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />I am providing the following ; <br />45°F (if food is used the following day, maintain below 41 °F temperature): <br />5-20 Gal. <br />Hand wash Water <br />id Ice chests <br /> Refrigerated truck <br /> Other (specify) <br />,PTfhree (................... <br />solution (one tablespoon of bleach per gallon of water). <br />Health Permit I- <br /> Refrigerator <br />0^ce bath and tubs <br />Title Date <br />I ~ -Tr- y:—■ <br />Extra Ice Bags & Food Containers must be <br />stored 6 inches off of the ground! <br />Propane Tank <br />3 <br />providing the following c^^^perature control for the cold holding o <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br />^Detergent, bleach, wiping cloths (cleaning towels), and a tub to store wiping cloths in bleach solution <br />I am providing the following items within my booth for warewashing: <br />mH iood 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 />** Im porta nt** <br />deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my booth: <br /> water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). A <br />separate tub (bucket or basin) for the collection of rinse/wastewater. Paper towels and a pump-style soap <br />container. <br />Names of responsible persons to be present in booth during all hours of operation <br />