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id. 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. I am providing the following items within my booth for warewashing: <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 /> 12. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> 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 /> qWater supply dispenser with warm water at a minimum of 100'F (i.e. 5-20 gallon container with spigot). A <br /> se Grate tub (bucket or basin) for the collection of rinselwastewater. Paper towels and a pump-style soars <br /> container. <br /> 14. Names of responsible persons to be present in booth during all hours of operation: <br /> V t. DU.O BAN <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 Drior to <br /> ,---ttds event.--� <br /> 15. Completed by: 11- t <br /> Sig ure Title pate <br /> 5-20 Gai. <br /> Health Permit SlempL Hand...wetCr <br /> wfCheff�ng <br /> paper Mane Tyvels <br /> Span ci Spenser <br /> Cutting Basrtl Saniezer tucket• <br /> oleach S water!I <br /> aropaoe Slova &each sraring�':iping cFclns <br /> Booth must be on <br /> Concrete.Asphalt. <br /> Plywood.or a Tarp. <br /> Propane Tank <br /> Soap and Water Rinse Water e:ench and Water <br /> Garbage <br /> Can <br /> Ffre ExiingUiLher <br /> Extra <br /> 'Nalcr <br /> ffi� <br /> Ice Cooler 15GOI N.amcwaah <br /> "'ustewalcr <br /> Extra Ice Bags e.FooC Confalnoe$mull oe <br /> COnlainrr <br /> 51=0 6 rnChaS Dff Of iha elrpund! <br /> EHD 1M2 Page B of i S TEMP F-VENT APP <br /> 7li4195 <br />