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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°F temperature): <br /> Ll 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 /> ❑ Detergent, bleach, and wiping cloths(cleaning towels). <br /> ❑Tub to store wiping cloths in bleach solution. <br /> 12. I 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 /> lt'fi fl Kfl Utz , h'�N� S IMP,. o ill � <br /> F7A81OL4 (70T7E- 2F2Ez <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 all hours of <br /> preparation and operation. Return original to festival coordinator three weeks_ prior to <br /> this event, <br /> 14. Completed by' <br /> nature Title Date <br /> 5-20 Gal. <br /> Health Permit Hand wash W'aler <br /> Sterno wlChaff rx) <br /> Qish <br /> Paper Hand Towels <br /> Soap dispenser <br /> C.ulting Board Sa"li2erhuckat- <br /> bleach&water far <br /> propane Stove <br /> Bleach storing wiping dolhs <br /> Booth must be on <br /> D Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> - -- 5o6p antl Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Flre EAaguisher <br /> Extra <br /> Water <br /> flce7COO]er 5 Gal Hand washExtra Ice Bags 6 Food Containers must be Waslewaler Container <br /> -- - stored 6 taches rNcf the grounds <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 08101/16 <br />