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10, 1 am providing the following cold temperawo 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 /> K Ice chests ❑ Refrigeralof <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(sp©clfy) <br /> 11. 1 am providing the following Items within my booth for the sanitary cleaning of food preparation utensiAs: <br /> ❑Three compartmarht sink <br /> OR <br /> ® Three deep tubs (basins S-S inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> m4ution(anti tablespoon of bleach per gallon of water). <br /> ®Detergent, bleach, and wiping cloths(cleaning towels). <br /> ❑Tub to store wiping cloths in blew solution <br /> 12. 1 am providing tho following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> ®Water supply dispenser with warm water at a rninimurn of IDG'F(i.e. 5-20 gallon conlalner with spigot) <br /> �J One separate tub(bucket or basin)for the collection of nnsolwastawater. <br /> ® Paper towels and Mrnp-slylp sAAD conlainer <br /> 13. Names of responsible persons to be present In booth duffing all hours of operation: <br /> Melissa Morrison, Matiherr Harrison <br /> '•Important" M food vendor booths lire 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 oric2lnal tQ festival coordinator throo wooks prior to <br /> this event. -- - - - - - <br /> 14. Completed by 5/14/25 <br /> Signature Title Data <br /> h7? God <br /> H90h Permit ta,.i..rft►�r. <br /> EF�h}ws4,Jfrr. <br /> o v, <br /> Pvrw I I MCI t rr+'11 <br /> C+nl"a Btwd E,r rLcr t..rl� <br /> Ul 4h L r I.0&i <br /> r\r{nrr She HVrr_s <br /> .tmrq ACV.rkv-a <br /> L3ooth must ba on <br /> Cantre[r,,�r,alt. <br /> Plywrtod,or a Terp. <br /> s'+4 And w>r" r1.ar r�trr. Fie�7t VU Nair <br /> Ga�a�s <br /> F"fxln-asttl --.� Cam' <br /> i � ---- i• Cris � <br /> Icy Caalar - <br /> o c.,,o-u <br /> FL"to Baas A Fuid r"rurrt rn.N dr Htwl.ww fcnarrr <br /> - a 't msa.mTdM FmnW <br /> 1 <br /> DOtEL2 Nh *0rd11 T FLIP EVEN rAPP <br /> O&U M B <br />