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10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 457(if food is used the following day, maintain below 41°F temperature): <br /> Ice chests1 Refrigerator <br /> ❑ Refrigerated truck ❑ ice bath and tubs <br /> ❑ Other(specify) <br /> 11, 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> ❑Three compartment sink. <br /> OR` <br /> `® Three deep tubs (basins 6-$ 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 /> Detergent, bleach, and wiping cloths (cleaning towels). <br /> Test strips to measure sanitation levels for bleach solution measuring 100ppm. <br /> Tub to store wiping cloths in bleach solution measuring 100ppm. <br /> 12. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br /> One separate tub (bucket or basin)for the collection of rinselwastewater. <br /> Paper towels and pump-style soap container. <br /> 13. Names es nsibi • n to be present' 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;operaitioReturn, original to festival coordinator three weeks prior to <br /> this ent. <br /> 14. Completed by: <br /> S'gnatu re Title ate <br /> -29 Gal. <br /> Hand wash Water <br /> Health Permit slamowlGhaffing <br /> Dish Paper Hand Towels <br /> Soap dlspense <br /> Sanitize <br /> buck <br /> Cutting bucket- <br /> Bear, tfieach&r water or <br /> sloring wiping cloths <br /> Bleach <br /> Propane Stove <br /> Bookh musk toe on <br /> Concrete,Asphalt, <br /> - Plywood,or a Tarp. <br /> FropaneTnnk -" ' <br /> Soap and Water Rinse Water Bleach and Wa[er Garbage <br /> Can <br /> Fire ErC.inc�visher <br /> Extra <br /> Wafer <br /> r1cet:,00ler •'"? x?�i cm:G:;" sr'"U-_ 5 Gal Hard wash <br /> Extra Ice Bags&Food Conlemers must be WastewaterCentainer <br /> ------ --- stored 6 inches off of lha groundl '-j <br /> EHD 16.02 Page 8 of i TEMP EVENT APP <br /> 611114 <br />