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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 /> 14 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 /> VWater 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 /> ptc1r L an M M(w�hc L ar -DOty I r 4 Vg nr <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 , 0 � 3/22/2026 <br /> Signature Title Date <br /> 570 cap. <br /> Health Permit "°nd w°sh w°`� <br /> Slemo wlChaKng <br /> fllsh <br /> /— Paper Hand Towels <br /> SaaR d!spenser <br /> Cuffirr�Board Sanrhzar bucket- <br /> / bleacl+8 wafer for <br /> R oRane 51uvc Bleach s!onng Mong deths <br /> Booth must be on <br /> Concrete,Asphalt <br /> Piymod,or a Tarp. <br /> proRarx TBnY r <br /> I Soap and Watur Rkrce WaWr Hl"00,and AT Garbage <br /> l Can <br /> Fne E�Nngu,6h&r <br /> EI:n <br /> VIntro <br /> 1` Ice Goo{er <br /> 5 Gal H4,u1 wash <br /> Ex1re Ice saga d food Cvnrelnarr nrosr b. Waetawater Conra!nnr <br /> -"' scored 6lnrh°a dt Wthe ground.! <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 00101116 <br />