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10. I 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. la providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> OR <br /> Three compartment sink. <br /> n 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 /> [l Detergent,bleach,and wiping cloths(cleaning towels). <br /> ❑Tub to store wiping cloths in bleach solution. <br /> 12. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> LI Water supply dispenser with warm water at a minimum of 100"F(Le.5-20 gallon container with spigot). <br /> ❑One separate tub(bucket or basin)for the collection of rinselwastewater. <br /> aPaper towels and Ummp-style soap container. <br /> 13, Names of respo h! �i- CA <br /> per ons to be present in booth during all hours of operation: <br /> �/,�►G� SCE. <br /> "Important" All food vendor booths are subject to inspection. PIease 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 oricginal to festival coordinator three weeks prior to <br /> this event. <br /> 14. Completed by: <br /> Signature Title pate <br /> Health Permit <br /> S[errowlChaffing Rand Wash Waler <br /> D(sn <br /> �----, Paper Fiarx}Tmeds <br /> Saapa'spernu j <br /> Cutting 0ozre <br /> p blearh8w�ffa repang S(ova <br /> [37wrh s(o[UnWipn9daft <br /> Booth must be on <br /> Concrete,Asphalt <br /> P: ,. . . : : = Plyviood,or ara <br /> opamTank rp. <br /> _..r_�s�"-'•" _ <br /> [ Soap and Weser Rinse Watec Breadtsr,d�Ya(� <br /> ,.;XI;'- Garbage <br /> ^`}' rife Exf r9i,;l er Can <br /> ,�``._—•'L_-'�,�� va Water <br /> dce Cooler <br /> 'a 5 Gal}targw.uh <br /> Erlra lce 88gs B.I Canfa/ musrb lha <br /> e INMerContatner <br /> slwatl GIZ orrN(/!e groprrp!nels <br /> E(iD 1"2 <br /> 712am o PagB 8417 i TEMP EVENTAPP <br />