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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 OF temperature): <br /> ® Ice chests ❑ Refrigerator <br /> ❑Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. I 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 100°F (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 to be present in booth during all hours of operation: <br /> MMICS.Me l.i go4 Q0 c") <br /> "Important" All food vendbf 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. <br /> March 2022 <br /> 14. Completed by: _ <br /> Signature Title Date <br /> Ir <br /> 5-20 Gal <br /> Health Permit LHandwasnwater <br /> Stern wXhaff ng <br /> Sh <br /> Paper Nand Towels <br /> Soap dspertsa <br /> 5anfaaer bvekeh <br /> Cunmq Ooarc Aleach 3 waler for <br /> Stori wng ring dolhs <br /> Pfapa ne SlOve BleaCn <br /> r Booth must be on <br /> Concrete.Asphalt, <br /> Plywood,or a Tarp. <br /> Prooane Tank <br /> Soap and Water Arose Water eIedch and Water Garbage <br /> Can <br /> [,re E>dmqu<sher <br /> Ema <br /> wares. <br /> ice Cooler S Gal Hand wash <br /> Errra kte Hags 6 Food CenfaMers roust de wastewater Container <br /> slored 6 rnOes oft of fhe gravndF -1 <br /> EHD 16-02 Page 0 of 11 TEMP EVENT APP <br /> 08/01/16 <br />