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f DIVISION OF PUBLIC HEALTH <br /> 1 WEST WILSON STREET <br /> P O BOX 2659 <br /> Scott Walker MADISON WI 53701-2659 <br /> Governor <br /> State of Wisconsin 60e-266.1251 <br /> Kitty Rhoades FAX: 608.267-2832 <br /> Secretary TTY: 888-701-1253 <br /> Department of Health Services dhsmisconsin.gov <br /> May 19, 2015 <br /> Ms. Nicole DeCook <br /> 9503 Co. Road 25 SW <br /> Byron, MN 55920 <br /> Ms. Nicole DeCook, <br /> The Department has received your variance application requesting the use of signage in lieu of <br /> washing, rinsing and sanitizing all of the provided utensils in your lodging establishment prior to <br /> use by a different guest. DHS 195.11 (3)(a) requires that all utensils provided for a guest be <br /> washed, rinsed and sanitized in an approved manner before being provided for use by a different <br /> guest. Your variance application indicates your desire to post signage informing guests that <br /> utensils are provided as a convenience and that it is recommended that they wash, rinse and <br /> sanitize utensils prior to use. The department approves your variance application request with the <br /> following conditions: <br /> 1. A sign is posted in public view with the following message: "Food and beverage utensils have <br /> been provided in this unit as a guest convenience. They have not been sanitized. It is <br /> recommended that you wash with a detergent, rinse with clean water and sanitize utensils before <br /> their use. To sanitize, after rinsing, add 1 teaspoon of unscented bleach per gallon of clean water <br /> and immerse utensils for a minimum of 30 seconds, then air dry." <br /> 2. This variance will be limited to your establishment. Any expansion,relocation or change of <br /> ownership of this business will invalidate this variance. <br /> 3. Failure to adhere to the above stipulations will result in this variance being rescinded by this <br /> department. <br /> 4. This variance shall be effective for five years from the date of approval. This approval will <br /> expire on May 19, 2020. Discuss renewing this variance with your health inspector before the <br /> approval expires. <br /> Thank you for submitting your variance request. <br /> If you have any questions or comments regarding this letter, please feel free to contact me at <br /> 608-266-8018. <br /> Wisconsin.gov <br />