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10. 1 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 /> ®Ice chests ❑Refrigerator <br /> ❑Refrigerated truck ❑tee bath and tubs <br /> ❑Other(specify} <br /> 11. 1 am providing the following Items within my booth for the sanitary cleaning of food preparation utensils: <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 /> ®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 10t1°F(i.e.5.20 gallon container with spigot). <br /> ®One separate tub(bucket or basin)for the collection of rinselwastewater. <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 /> JANAHENZY MENDOZA <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 a1 all hours of <br /> preparation and operation. Retum_2tist(nal to festival coordinator three weeks prior to <br /> this event. <br /> 14. Completed by. Janahenzy M . June 4.2025 <br /> Signature Title Date <br /> S.ro Gel <br /> Health Permit <br /> srenw..cn.mw <br /> Paper Nertl Towne <br /> Sum dePe <br /> fudeu Bnad SA�,aeeDuc�e!- <br /> bleeeT 6 water M <br /> r'rnPene Snne 61exM1 elorxp..W+a claert <br /> Bmih must be on <br /> Concrete.Asphalt. <br /> Plyweprl,of a Ten,IL <br /> Prppa„e Tent <br /> $oey end water flints Wetar &recn and Wewr I Garbage <br /> ree ree.n,etM1er Can <br /> O <br /> ri,e C,,Ief i I wxiew.a�u�e <br /> Enrn ky enp.6 Fwd Carnero.a men!be <br /> em,od d r,cnei urrul Me gnwwr <br /> EHn 16-02 Paw B ul 11 TEMP EVENT APP <br /> B&'B1116 <br />