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10, 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 450F (if food is used the following day, maintain below 41'F temperature): <br /> ® 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 /> ® Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation. <br /> MJ Bermudez, Gefe Roaquin <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 a ent. <br /> 14. Completed by: Owner 4/14/2025 <br /> Signature Title Date <br /> 5-20 Gal, <br /> Health Per Hantlwashwater <br /> Sterna wlChaTrng <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Culling Board Sanitize,bucket- <br /> bleach&water for <br /> Propane Stove Bleach storing wiping daths <br /> Booth must be on <br /> n Concrete,Asphalt, <br /> u Plywood,or a Tarp- <br /> Propane Tank <br /> Soap antl Water Rinse Water Bleach and Water <br /> .�:.� Garbage <br /> Can <br /> Fira Extinguisher <br /> Extra <br /> Waler <br /> Ice Cooler 5 Gak Hand wash <br /> Extra Ice Begs 8 Food Containers must he Wastewater Container <br /> stared 6 inches off of the ground? <br /> EHd 16-02 Page 8 of 11 TEMP EVE NTAPP <br /> 08101/15 <br />