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10. I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45°F (if food is used the following day, maintain below 41'F temperature): <br /> !to <br /> ® Ice chests ' , , E w ❑ Refrigerator <br /> CRefrigerated truck/r a-g E u m ❑ Ice bath and tubs <br /> �Q Other(specify) 2- Pa C Ci C n t -Jt-+, Fay f) <br /> I <br /> 11. I am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> [�Three compartment sink. <br /> ORL3 � <br /> Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> solution (one tablespoon of bleach per gallon of water). <br /> ❑ Detergent, bleach, and wiping cloths(cleaning towels). <br /> ❑Tub to store wiping cloths in bleach solution. <br /> 12. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> Water supply dispenser with warm water at a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> J One separate tub(bucket or basin) for the collection of rinse/wastewater. G a-C, y w� 'r A <br /> [ Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: _ <br /> i <br /> /1v v 3 i2 E A t2 F L L A <br /> "Important" All food 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 /> — ---- o VJ ,r ru 3 I <br /> 14. Complet -by:` <br /> Signature Title Date <br /> 5.20 Gal. <br /> Hand wash Waley <br /> Health Permit Sterno wlchafinq <br /> Owl Paper Harts Toasts <br /> Soap dlsnanser ' <br /> Sanilizer bucket <br /> Cutlinq Board bleach&water for <br /> storing wiping cloths <br /> B!each <br /> Propane Store <br /> Booth must be on <br /> Concrete,Asphalt, <br /> oo .ora <br /> Plyw Tarp. <br /> - 5.k .'.,.. Snap a;W Water Rinse Ylater Bleach and VJater Garbage <br /> Can <br /> Fire Extinguisher <br /> Qxtra <br /> YJalef <br /> 5Ga,Handwash <br /> ICs Cooler } <br /> Extra Ice Bags 6 Food Cofrtairlers must be <br /> Wastewater Container <br /> ... ......_..... ...._ ._ �' stored 6 inches onof the grand! <br /> EIAD 18.02 Page 6 of 11 TEMP EVENT APP <br /> 08/01116 <br />