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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°F 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 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 /> elution (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 /> %Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-•20 gallon container with spigot), A <br /> eparate tub (bucket or basin) for the collection of rinse/wastewater. Paper towels and a pump-style soap <br /> container. <br /> 14. Names of responsible pers be present in booth during all hours of operation: <br /> �v 1 T Kn <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 o ' n- Return original to festival coordinator three weeks prior to <br /> thi nt. <br /> 15. Completed by: <br /> Signature Title Date <br /> 5-20 Gai. <br /> Health Permit # Hand wash <br /> stemo wlCharfing <br /> Dish <br /> Paper Hand Towels <br /> soav dispenser <br /> Cutting Baartl Sanifter bucket- <br /> plesch&water far <br /> Propane SSove Bteactt <br /> storing wiping Ubtns <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> PrbpaneTank <br /> soap and waver Rinse wafer -leach and water Garbage <br /> Can <br /> D-d <br /> Fire FxtingUsher <br /> Extra <br /> water <br /> Ice Cooler 5 Gal Hand wash <br /> I' Extra ke 849s&Food Containers must be waslewater Container <br /> sfosed 6 inches off or the ground! 11 <br /> EHD 1"2 Page a or 11 TEMP EVENT APP <br /> 7114115 <br />