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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 /> tOle chests � Refrlgeratclr <br /> efngerated truck: El Ice bath and tubs <br /> ther(specify) <br /> 11. I am providing the following items ' in 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. lam oviding the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> Dete ent, bleach, wiping cloths leaning towel a a tub to store wiping cloths in bleach solution. <br /> "j <br /> 13. [am providi <br /> ng ing the following for adequate hand washing facilities, but separate from utensil wash within my booth: <br /> *ater supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). A <br /> SParate tub (bucket or basin) for the collection of rinse/wastewater. Paper towels and a um st le soap <br /> container. <br /> 14. N me iesponsible per ons to be a nt' th durin all ours of opera ' n: <br /> ""important All food vendor booths are subject to inspection. PI a 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: <br /> Signature 'Title Date <br /> 5-20 Gal, <br /> Health Permit Hand wash Water <br /> Stemo wlChaifing <br /> Dish <br /> Paper Hand Towes <br /> Scrap dispenses <br /> Cutting Board Sanitizar bucket- <br /> bleach&water for <br /> Aropane Stove Bleach storing wiping doths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Soap and Wafer Waler Bleach and Water <br /> „ Garbage <br /> Fire Extinpufsher Can <br /> Is�,n�r'"� ErGra <br /> fP: rila'FZ. Wafer <br /> Ice Cooler 5Galhlandwaeh <br /> Extra Ica Baps&Po0d Ccnfainws must be Wastewater Container <br /> sfaad 6 inchw off of the ground! <br /> EHD 16-02 Page S of 1 I TEMP EVENT APP <br /> 7114115 <br />