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meats, tamales, cooked beans, rice, <br />10. <br />chests <br />11. <br />OR <br />for soapy water, one for rinsing and one for a bleach <br />providing the following items within my booth for the sanitary cleaning of food preparation utensils:12. <br />13.utensil wash within myproviding the following for adequate hand washing facilities, but separate from <br />booth: <br />14. <br />th i s event. <br />TEMP EVENT APR6 of 9EHD 16-02 <br />7/14/15 <br />Note: Examples of p ote n tia 11 y hazardous food include: <br />vegetables, potato salad, eggs, and dairy products. <br />Dominick Siragusa Ricardo Bermudez <br />Helen Bello <br />preparation for this event, <br />preparation and operation. <br />make a copy of this application In <br />hours of <br />I 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 />Ice <br />Pago <br />Pie a se <br />□k Three compartment sink. <br />Other <br />I a m <br />I a m <br />rjrW a te r supply dispenser with warm water ata minimum of1 00 F (i.e. 5-20 gallon conta iner with spigot). Aseparate <br />tub (bucket or basin) for the collection of rinse/wa stewa ter. Paper towels and a pump-style soap container. <br />E^Detergent, bleach, wiping cloths (cleaning towels), and a tub to store wiping cloths in bleach solution. <br />I | Refrigerated truck <br />□x <br />(specify)------------------------------------------ <br />Names of responsible persons to be present In booth during all hours of operation: <br />I am providing the following Items within my booth for warewashing: <br />** I *♦Im porta nt All food vendor booths are subject to Inspection. <br />A copy of this checklist must be in the booth at all <br />Return original to festival coordinator three weeks prior to <br />Refrigerator I <br />Ice bath I and tubs <br />□ Three deep tubs (basins 6-8 inches minimum), one <br />solution (one tablespoon of bleach per gallon of water).