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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 OF 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. <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 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 /> Byanka Massey <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: Byanka Massey Owner/Manager 4/1/2026 <br /> Signature Title Date <br /> 5-20 Gal. <br /> Health Per Ste Hand wash Waler <br /> mo wlCha�ng <br /> Dis <br /> Paper Hand 7oweis <br /> Soap dispenser <br /> Cutling Board Sanitizer bucket- <br /> bleach A water far <br /> Propane Stove <br /> Bleach stonng wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> A u <br /> ------------- <br /> Propane Tank - ---�' <br /> Soap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fire Extinguisher <br /> Extra <br /> Wa[er <br /> r <br /> Ice Cooler 5 Gal Hand wash <br /> Extra Ice Sags&Food Containers must be Wastewater Container <br /> scored 6 inches offoflhe groundr <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> n8iav16 <br />