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10. l am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 450F(if food is used the following clay, maintain below 41°F temperature): <br /> NJ 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 /> 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 /> ®Water supply dispenser with warm water at a minimum of 100aF (i.e. 5-20 gallon container with spigot). A <br /> separate tub (bucket or basin) for the collection of rinse/wastewater. Paper towels and a up mrrs le soap <br /> container. <br /> 14. "Mes of responsible persons`l to be present in booth during all hours of operation: <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 /> 15. Completed by: rgtel- OWNER 07/13/2016 <br /> Signature Title Late <br /> 5.20 Gaf. <br /> Health Permit Handwashwater <br /> aferno wlChalfing <br /> Dish <br /> Paper Hand Towels <br /> Spay dRSlsenser <br /> CutVng Board sanitzer buckel- <br /> bleach&water far <br /> Propane 5:we _ Bleach <br /> slcHng wiping cloths <br /> Booth must be on <br /> Concrete,,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Soap end Water Rinse Water Bleach and water Garbage <br /> Can <br /> Fire 6dirsquisher <br /> F�c1ra <br /> Water <br /> Ice Cooler 5Gat Hand wash <br /> Faclre 1Ce Bags%Food Confainars must be Wastewater Conlainer <br /> scored 6lnchos olforme ground! P I <br /> EHD 1"2 Page 8 of 11 'TAMP EVENT APP <br /> 7114115 <br />