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11. <br />OR <br />12. <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 />‘Important** <br />aCompleted b^J14. <br />Paper Hand Towels <br />Soap dispenser <br />Cutting Goard <br />Propane Stove Bleach <br />3 <br />Propane Tank <br />Soap end Waler Rinse Waler Bleach and Water <br />Tire Extinguisher <br />COMPLETE BOTH SIDES AND RETURN WITH EXHIBITOR AGREEMENT <br />(( <br />|J 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 />lj Ice chests <br />□ Refrigerated truck <br />□ Other (specify) <br />Extra ice Bugs & Foed Containers must be <br />Bfwed 6 inches off of (he gmund1 <br />Slerno w/Chaffing <br />Dish <br />□ Refrigerator <br />□ Ice bath and tubs <br />Extra <br />Water <br />Sanitizer bucket- <br />bleach water tor <br />storing wiping cloths <br />5 Gat Hand wash <br />Wastewater Container <br />5-20 Gal <br />Hand wash Watfir <br />U/TI 0_ A <br />Title <br />) <br />z... <br />Ice Cooler <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br />□ Three compartment sink. <br />EZfhree 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 />[Zfbetergent, bleach, and wiping cloths (cleaning towels). <br />iZlub to store wiping cloths in bleach solution. <br />^arn^providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />--------- I <7 <br />Garbage <br />Can <br />Boolh must be on [ <br />Concrete, Asphalt. | <br />Plywood ora Tarp. <br />10. ' I 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 />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 <br />Signature late