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10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45OF(if food is used the following day, maintain below 41 aF 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 /> 0 Three compartment sink. <br /> OR It Three deep tubs (basins 5-8 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 (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�ja�be present in bijoth n gall_ hours of�p riiop_ <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. 7 <br /> 14. Completed by <br /> Signature Title <br /> 5-20 Gal. <br /> Health Per Hand wash Water <br /> sterna wlChefl,nq <br /> nlsh Paper Hard Trnwvrs <br /> Sonp tl,cpensar <br /> cultmq 9oard Sanlnter bucket- <br /> aleach 8 wa-er for <br /> Bleach slonng o4pno cloths <br /> PrppA^�$ldve <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> PropanJTank <br /> Soap and Water R,nse Water Bleach and'Naler Garbage <br /> Can <br /> Fire Exhn9L119her <br /> Extrn <br /> Water <br /> Ice Cooler 5 Gal Hand Wash <br /> Extra ice Bags 8 Food Conlamers must be Wastowalar ConlaineI <br /> 51"d 6")Ch0$OBof Fie ground, <br /> EHO 16-02 Page 8 of 11 TEMP EVENT APP <br /> o8fo1116 <br />