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10. [ 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 chests 'Refrigerator <br /> Refrigerated truck Ice bath and tubs <br /> ❑ Other(specify) <br /> 1 am providing the following items within my booth for warewashing: <br /> OR <br /> ,Three compartment sink. <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 /> 12. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> I?Detergent, bleach, wiping cloths(cleaning towels),and a tub to store wiping cloths in bleach solution. <br /> 13. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my booth: <br /> /'Water supply dispenser with warn water at a minimum of 100°F (Le. 5-20 gallon container with spigot). A <br /> separate tub (bucket or basin) for the cailection of rinselwastewater. Paper towels and a um ale soap <br /> container. <br /> 14. Blames of responsible persons to be present in booth during all hours of operation: <br /> n <br /> " ImportaW* 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 on inal to festival coordinator three weeks 2rIor to <br /> this event. <br /> 15. Completed by: ', ,'��, <br /> Signature Title pate <br /> M F LHealth Permit c 20 � <br /> Scsrna wlChetting trend wxatt water <br /> bla9 <br /> Paper Mend Towels <br /> Soap dispenser <br /> Cutuag Board <br /> Saniltrar burxrt- <br /> Prepane Score <br /> alearh d wave-rot <br /> Neaen statln6 MPIN cloths <br /> Booth must be on <br /> Gancrete,A sphalt, <br /> or a Tarp. <br /> _.. : <br /> Propane 9n, Bleach and Water' Garbage <br /> - " Fee F�ctinpu'rsher Can <br /> Etiva <br /> Water <br /> I <br /> lGe Cooler wash <br /> SGalHena <br /> f 6Gra!c.saps a Food Contelners must 4W Waslawa+er a 3h <br /> stared 6 inches off at the grorurdt <br /> EHO 16-C2 Page 8 of 11 <br /> 7114115 TEMP EVENTAPP <br />