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8, 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°F temperature). <br /> IW)ee chests ❑Refrigerator <br /> ❑Refrigerated truck ram`bath and tubs <br /> ❑Other(specify) <br /> 9 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 /> Netergent,bleach,and wping cloths(cleaning towels). <br /> Vub to store wiping Cloths m bleach solution <br /> 10 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth_ <br /> Vter supply dispenser with warm water at a minimum of 100`F(i a 5-20 gaiion container with spigot). <br /> V00ne separate tub(bucket or basin)for the collection of rinse/wastewater <br /> Noaper towels and pump-style soap container. <br /> 13 Names of responsible persons to be present in booth during all hours of operation <br /> Nicole Moore-Raygoza Jaime Raygoza <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 ail hours of <br /> preparation and operation Retum oritalnal to festival coordinator three weeks prior to <br /> this event. <br /> 14, Completed by: Nicole Moore-Rayaoza Owner 2022 <br /> Signature Title Date <br /> Health Permit <br /> Seerlw•apullY,p <br /> ol.n <br /> Papx Hantl TvvNa <br /> Saw d�wnw <br /> csp�a Rpartl s.reaa<o�a.+ <br /> f+rypYr.51we gory 4ennq rglnp dofna <br /> Booth musk be on <br /> �y Coiwete,Asphalt, <br /> uPlywood,or R Tory <br /> Fmp.na r.nh <br /> SOYA deaf Wales RHM WMK f1hYdl IIOC WY[er <br /> Garbage <br /> Can <br /> fw E�Yquun.r <br /> EM <br /> WrtYr <br /> Ice Cooler SGaI HanC soh <br /> . F.ln k�apsi foutl Cw4avvnnw lr WY,yl.raear L'wlmma <br /> ' abntl 61llchef oil of 7w yWM! <br /> EHD 1602 Prp6 4 pf 11 TEMP EVEhrt APF <br /> 1wlvae <br />