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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 (i€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. 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 /> ❑ 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 /> yy) <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 /> prepinratinn and operation. Betom original to festival coordinator three weeks prior to <br /> this event. <br /> 14_ Completed by: _ 1��rU2� 3/12/2026 <br /> g a re Title Date <br /> 5.M Gal_ <br /> Health Permit Hand wash Water <br /> Stemo wlChaffing <br /> Gish <br /> Paper Hand Towels <br /> SnyuLu� <br /> Cutting Board Sanitizer 6urhel- <br /> t1te9Ch Water for <br /> Propane stove <br /> Bleach storing wiping ck the <br /> Booth must be on <br /> O Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Soap and Water Rinse Water Meath and Water Garbage <br /> Can <br /> [,re Extinguisher <br /> Extra <br /> Water <br /> Ice Cooler 5 Gal Hand wash, <br /> Fern Ice hags 8 Food Containers must be Wastewater Container <br /> stored 6 inches oll of fhe ground) <br /> EHD 16-02 Page a of 11 TrMP EVENT APP <br /> 08101/16 <br />