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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 /> NIce chests ❑ Refrigerator <br /> ❑ Refrigerated truck Ice bath and tubs <br /> ❑Other(specify) <br /> 11. I 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 /> ATub 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 esent in booth during all hours of operation: <br /> MONA'�Q ± Lot koELVx <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 /> is event <br /> March 23 202$ <br /> 14. Completed byA rQ"OWNeP— <br /> S' nature Title t)^a e <br /> 520 Gc1. <br /> Health Permit 1"'0r"°YOW <br /> s, r . <br /> Pair 1 Wry To.,r�+ <br /> ° Owoeraa <br /> C.�7a'10 8osd 5-an;.rr.p,i-way. <br /> oes-�'.d.Ya•.r.�� <br /> N2c+a-�5�,.4 flwan rc.,-g x•.'a c.�r,3 <br /> Booth must be on <br /> concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Er--_Tank <br /> swv a�wa,c. R.nu Wa'r flitxfi errs vdsw Garbage <br /> Can <br /> F.ea <br /> Ice Cooler I I K&�d <br /> Elba fp car b Fmd Guars.red to Wa,C9r�w CDWA- <br /> EHD 16-02 Page 8 of 1 1 TEMP EVENT APP <br /> DW r16 <br />