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10. 1 am providing the followi. )Id temperature control for the cold holdi. f potentially hazardous foods below <br /> 45°F (if food is used the following day, maintain below 41°F temperature): <br /> ❑ Ice chests a 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 /> 2 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 /> L&Water 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 pump-style soap <br /> container. <br /> 14. Names of responsible persons to be present in booth during all hours of operation: <br /> �0-.52j4 C-'OeQ L- (Uri) ?(a3- VIGS <br /> _ A'LUMA4 Av-*ARL (w4) (,a IS 795$ <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 /> 15. Completed by: C CLUB M%EMEK - ra lP <br /> Signature Title bate <br /> 5-20 Gel <br /> Health Permit Hend wash Water <br /> Slerno wlCheffing <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cultinq Board Sanitizes buck el- <br /> bleach&water for <br /> Propane Stava Bleach storing wiping Goths <br /> FP1B <br /> ooth mustbeon <br /> oncrete,Asphalt, <br /> yw"d. or a Tarp. <br /> Propane Tank <br /> Soap and Wales Rrnse Water Bleach and Water Garbage <br /> Can <br /> Fire Extinpw5her <br /> Extra <br /> Ice Cool 5 Gal Hand wash <br /> Ex"ke Bags R Food Conlarners must t>e Wastewater Container <br /> stored 6 inches off of the gro�ndl <br />