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10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45eF(if food is used the following day, maintain below 41°F temperature): <br /> © 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. N/A <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 facilitles, but separate from utensil wash within my <br /> booth: <br /> U 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 /> Q Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Kaiti n Hornon <br /> Janine Ho on <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 /> �t t. <br /> thhis even y� <br /> 14, Completed by: _ qr y Ok"h -c'r 40 l io z- <br /> Signature Title Date <br /> laim '" d 6.c' 5-20 Get, <br /> Health Permit Hasa"�`h water <br /> sterna wichalfing <br /> Dian <br /> Paper Hand Towels <br /> Snap diapenara <br /> LutUrq Board Sarntzer6uckat. <br /> Wearn E water for <br /> Propane Slope <br /> Bleach etonrp wiping I <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propare Tank <br /> Soap and Watet Rinsri Wader Bleach and Water Garbage <br /> Can <br /> fire Exlinpu,ehhx <br /> Ehnra <br /> Water <br /> Ice Cooler 5Gal Hand wash <br /> Extra ke Saga Id road Contaoers must be W aslBwetM Conleirer <br /> &nfed 6 inches nR or the ground.+ <br /> EHD 1"2 Page a of 11 TEMP EVENT API' <br /> OB10116 <br />