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salary cleaning of food preparation utensil <br />TrtleSignature <br />Health Permit <br />Ice Cooter <br />’ G^ree <br />solution (c <br />□ Tub to <br />booth: <br />■ ■kh.hmu.h/, une for soapy water, one for rinsing and one for a bleach <br />lallon of water). <br />(cleaning towels). <br />e following items within my <br />ttntenlsink. <br />portanf All food vendor booths are subject to inspection Please make a copy of this application tn <br />preparation for this event A copy of this checklist must be in the booth at aB hours of <br />preparation and operation Return original to festival coordinator three weeks prior to <br />this event l z* >. <br />14. Completed by___________________/<fc> /*20gg <br />ividing the following for adequate hand washing facilities, but separate from utensil wash within my <br />. 7 " <br />0 Water supply dispenser with warm water at a minimum of 100’F (i e 5-20 gallon container with spigot) <br />□ One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />.X. <br />□ Paper towels and pump-style soap container <br />13 Names of responsible persons io be present in booth dunng all hours of operation. <br />. . I IB <br />■Itrol for the cold holding of potentially hazardous foods below <br />below 4 I f- temperature) <br />,r <br />1868E Hazelton Avenue | Stockton. Catifoma 952051 T 209 468-34201 F 209 46* 01 <br />___| <br />—-----------------1 <br />$GMHar4«mn <br />'VmrmrOw