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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 /> / <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 rinselwastewater. <br /> ® Paper towels and pump-style soap container. <br /> 13, Names of re onsibie ers ns a present i h d ring all hours f operation: <br /> "Important" All food vendor booths are subject to inspection. Please ma We 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 /> p aration and operation. etum original to festival coordinator thr e--weeks-or' r to <br /> his <br /> 14. Completed by: , � <br /> Signature Tie e <br /> 5.20 Gal. <br /> Health Pe Hand wash Water <br /> rmik <br /> rnp :Chse;,,g <br /> Dwh <br /> Paper Hand Tpvels <br /> Soap dispenser <br /> Cu[hnq Board SaTer bucket- <br /> bleach S v4ter far <br /> Propane Stove Bleach stnnng wpng doths <br /> Booth must be on <br /> Concrete,Asphalt. <br /> Plywood,or a Tarp. <br /> iaropam Tangy --. _ _. 2: -, <br /> �. Soap an7 yvatpe !Lose wetnr t9eam;ine water <br /> Garbage <br /> Can <br /> R FetlinWfth er <br /> Extra <br /> �Nater <br /> Ice Cooler , 5Gal Hand wash <br /> Extra ke Begs B Food Loma-ws must be W astowatar Container <br /> stored B itches off of the ground+ <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> (0011l s <br />