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I 0. I am providing the following cold temoemn,,c control for the coid.hoiding of potentially hazardous <br /> foods *below 45 F: (check one or more bees) <br /> (1j/ ice chess [ ] refrigerator <br /> [ ] refttemted truck [ ] ice hath and mbs <br /> [ ] other (specify) <br /> 11. 1 am providing the following items within my booth for ;he sanitary cleaning of food-prepazadon <br /> utensils (deck both boxes): <br /> [Ll two deep tubs (basins tib inches minimum), one for soapy water, the other for rinse and <br /> bleach solution <br /> [ detergent, bleach, and water (one capful per gallon of water) <br /> 12. 1 am providing the following for adequate handwasbing facilities, but separate from utensil wash, <br /> within my booth (check all boxes below): <br /> H [/ water supply dispenser (eg. 5-20 gallons, Igloo or Coleman container with spigot) <br /> one separate tub (bucket or basin) for the collection of rinse/waste water <br /> u/ paper towels and punip-sryle soap container (or squeeze cyte), and lined trash receptacle <br /> 1=. Names of responsible persons :o he present in booth during all hours of operation_ <br /> H <br /> Il4IPORTANT: All food vendor booths are subject to inspection. Please make yourself a <br /> copy of this checklist in preparation for this festival A copy of this checklist must be in <br /> booth at all hours of preparation and operation. Return original to festival coordinator two <br /> p months orior to 'fthis event- <br /> 14. <br /> ZJ] 14. Compile br. J f B/ <br /> O signer dde date <br /> Io X 10 FT. BOOTH ,. NO HEALTH <br /> SMOKING <br /> W IIERM I T <br /> H <br /> STERNO i PAPER HARD1.... <br /> rn IY/CiiAFF IRG DISH( S -• <br /> 9L:ACH ,TOWELS <br /> ? <br /> �7 tri -171 G.\L. HANOWASH <br /> DISH PA S -- LATER _ <br /> .. •• PROPANE STOVE J <br /> asI SCAP 3L-ACH •� (SOFT SOAP <br /> ^ LUTTIXG ' i <br /> •� — I(.= <br /> °ORAD A7-.l 12t.� WATER 11 ISPERSER- <br /> • � Y <br /> GARBAGE CAN; <br /> 5 GAL. IMDWASH <br /> PASTE WATER CONTAINER <br /> ICE ',� .� I <br /> C00L:R FIRE r--E3 <br /> EXTIHGU!SHE-n <br /> ' iOCC '.ON'AINCZS +USi <br /> .+A ICE BAGS Mos. 3E ;TOPED OFF _F Tt IE <br /> E S10Rf? O."= OF SHE 'LOOR CONCRETE, ASP4ALl , <br /> tOuno <br /> PL'.WCO. OR TMP <br />