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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 /> U Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice 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 100'F (i.e. 5-20 gallon container with spigot). <br /> ❑ One separate tub (bucket or basin)for the collection of rinse/wastewater. <br /> V Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> . Natalia De Los Reyes <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 /> 14. Completed by: _ ;f r' Owner 05/02/2025 <br /> Signature Title Date <br /> 5-2B Gal. <br /> Health Permit Ste Hand wash Water <br /> mo wlCheffing <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Culfinp Boartl SanIIIZer hucket- <br /> hlea&&water for <br /> Propane Stove Bleach storing wiping doths <br /> O E11001hmt6eon <br /> U ceteuAsphalt <br /> , <br /> oraTarp. <br /> Propane Tank <br /> Ap <br /> Soap and Water Rvise Water Bleach and Water <br /> Garbage <br /> Can <br /> [FireExllngulsher <br /> Extra <br /> -V Water <br /> rce <br /> ooler 5 Gal Handwash <br /> Extra!co Sags&Food Conlahers must be Wastewater Container <br /> stored 6 inches off of the ground! <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 08/01116 <br />