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IV. r clll.l Flv Vlullly lll6 lVllVVVlllV %+vlu LullivimICIMIC.a,ulluvl Jul t1lu Vvlu lluluUiy yr lju%�Slkually ll--vN.+ vv�w ,,ivw•s <br /> 45*F(if food is used the following day, maintain below WF temperature): <br /> Ef ce chests ❑ Refrigerator <br /> ❑Refrigerated truck ❑ Ice bath and tubs <br /> ❑Other(specify) <br /> 11. 1 am providing the following items within my booth for warewashing: <br /> ❑Three compartment sink. <br /> OR <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 /> 12. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> d Detergent, bleach, wiping cloths(cleaning towels),and a tub to store wiping cloths in bleach solution. <br /> 13. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my booth: <br /> dWater 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 tlm -St Ie Soap <br /> container. <br /> 14. Natngs of respon lble persons to b rese t in booth during all hours of operation: <br /> 6 <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 nrlor_to <br /> this e c t <br /> 15. Completed by: <br /> Signature Title D to <br /> 5-20 Gal. <br /> Health Permit Hand wash Walar <br /> Starno wlChotfinp <br /> Dish paper Hand Towels <br /> Soap dispenser <br /> Culling Board Sanilizor bucket- <br /> bleach 8 water for <br /> Propane Slova <br /> Bleach storing wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank _ .. <br /> r• Soap and Water nlnse Water Bleach and Water Garbage <br /> Can <br /> Flre ExIInOlAsher <br /> _� Extra <br /> wafer <br /> ice Cooler <br /> t.....,.•.'...,,.,...... +i 5 Gal Hand vrash <br /> Extra lee Bags 6 Food Containers must be -'t Wastewater Container <br /> -•.- ..----- stared 6Inches ell o/lha groundt ] <br />