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tO. i 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 T temperature): <br /> ❑ice chests ❑Refrigerator <br /> [Q Refrigerated truck ❑doe bath and tubs <br /> 11. f am pr¢viding ttte following iterns within my booth for the saniiery leaning of food preparation uter sft <br /> TI}t'ee compartment sink. <br /> OR rd/ <br /> deep tubs (basins " inches minimum), one for soapy water, one for rinsing and one for a bteaC.h <br /> salui�)n(one tabWpoon of Bleach per 9;llon of water). <br /> Ly,1 t. . arid,yvip#rtQ cloths(clearAng taweis). <br /> > Li 1 ut7 to store wiping cioms to oh!om solutiori. <br /> 1.2. 1 am providing ttte fallowing for adequate hand washing facilities, but separate from utensil wash within my <br /> bcKAh: <br /> t_j w mu:;r su I dispenser with warm water at a minimum of t OOT i.e. nv-11► lion container with s <br /> r,I PP Y t� (' Da �t��: <br /> ( ore separate tub(bwket or basin) for Me collection of rinsehvWewater. <br /> M/Paper towels and puMV-style Soap container. <br /> 13. Na es of responsible persons to be nt. booth during all hours of operation: <br /> 4�S-SCE I�4 C:A(1 e" . <br /> **llrn)9 tltrW' AN food vendor booths are subject b inspection. Please make a copy of this application in <br /> preparaion for this even A copy of this checklist roust be in the booth at all hours of <br /> pmpariboo and 2ppoftn. f c9W nour <br /> 14. Completed by: <br /> Signature Tide � <br /> Health Paitnit H.d.ten wear <br /> wa+rfrq <br /> PMer Hand TowMa <br /> sa.o d.werx« <br /> ' ara.+a Boas san�,�r e>ucher- <br /> Wacb&*AW for <br /> . wcp�rr Wow <br /> sua�+, •ubwMlsa41� <br /> Booth must bo err <br /> ConCreie,A"twdt, <br /> P6woad,or a TMV. <br /> NOPWO Tank <br /> soap WO water uid WMW <br /> Can <br /> F k EfEr,Q.iow <br /> �� Extra <br /> VYsrr <br /> too G r 5 oer Hand w.n <br /> E,rtra Ire Bags d Faai Cos mw!8� Waster�r Corxelner <br /> sixty 7knhad CO of Ire Dr&odl <br /> EHo 10-02 Page 8 of 1 i TEMP EVENT APP <br /> OW1116 <br />