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F <br /> 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 ❑ 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 /> El 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 100eF(Le. 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 /> 14. i t n— <br /> 'Important" All food vendor booths are subject to inspection. Pleas: 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: of Ell <br /> re Title Date / <br /> 5-zo cat <br /> Health Permit HandwashWater <br /> Stems wlChaffing <br /> Dish Paper Hatid Towels <br /> Soap dispenser <br /> Cutting Board sanitirerbucket- <br /> bleach&water for <br /> storing wiping ddo o <br /> Propane Slave Bleach <br /> Booth must be on <br /> O Concrete,Asphalt. <br /> Plywood,or a Tarp. <br /> ftpane Tank <br /> Soap and Welcr Rinse Water Breach and Water Garbage <br /> Can <br /> Rre E ting�isher <br /> Extra <br /> water <br /> Ice Cooler 5 Gal Hand wash <br /> ust <br /> Extra Ice Rags d Feod Cordatners m be Wastewater Container <br /> 3fored 6 inches oI1 of the growdf <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 08/01/16 <br />