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10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45aF (if food is used the following day, maintain below 41 OF temperature): <br /> Ice chests V-0 C N C C t k ❑ 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 bleat <br /> solution(one tablespoon of bleach per gallon of water). <br /> r <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 /> MOne separate tub(bucket or basin) for the collection of rinsetwastewater. <br /> 1W Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <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 av -- - <br /> 14. Completed by: �` <br /> M G� March 2022 <br /> Sign ,ur --` Title <br /> 5,20 Gat <br /> Health Permit Hann wash VValar <br /> slorno w1CnpHing <br /> [ash <br /> papef hBra Towels <br /> Gul4n{r B01rn `.;erkll zY.'❑„'.hRl <br /> doach d wafer fa <br /> xinnm,.w ,�„ ,m rin�ne <br /> r'f0()ana$IOve Blexn <br /> Booth mull be an <br /> Concrete,Asphaki, <br /> Plywood,or a Tarp <br /> 1'ot non,.TwoAP� - - - - -- - --- -� -- -- --- - - - ----- - <br /> S:.ap and K'atrr H�nse 4Vator takaCfr tp1Q f.aiC* Garbage <br /> Can <br /> Fpe Ei4SlsrQldShBf <br /> Fxra <br /> tAptMr <br /> Ice Cooler i I 6GatHmdwasn <br /> fJ Exua+ce Hags 6 Fow C onra�ners muu nn wastewater Comaner <br /> SM.rar7 71 <br /> fi rntAes ol!of Irta Wdrrc0i <br /> EHp 16-02 Pape a of 11 TEMP EVENT APP <br /> r <br /> aerolrle <br />