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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(f food is used the following day,maintain below 4VF temperature): <br /> ❑Ice chests ❑Refrigerator <br /> ❑Refrigerated truck ❑Ice bath and tubs <br /> ❑Other(specify) <br /> 19. IIa�am�� wi <br /> providing the following items thin my booth for the sanitary cleaning of food preparation utensils: <br /> LJThree 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 /> ❑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 faclilies, but separate from utensil wash within my <br /> booth: <br /> &n-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 rinse/wastewater. <br /> ❑Paper towels and pumo-style soap container. <br /> 13. Names of responsible persons 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 /> 14. Completed by: <br /> Signature Title Date <br /> 5 20 Gal <br /> Health Permit xand�v,waler <br /> SterroxlChalfug <br /> Mh <br /> _ Paptrr Nand TaveJs <br /> Soap Qspeaser <br /> QRGng BorrQ <br /> SartGrortwcko!- <br /> P ano stove 6lcarhB Waterla' <br /> fOP alearh starin9�'ripingUolhS <br /> Boolh must be an <br /> Concrete,Aspha3t, <br /> Plywood,or a Tarp. <br /> Propane Tank _ "- �_eJ ts•� - _ _ -.c.a ,rs:- <br /> Soap zwwaler Rinse Weser &each andYvata <br /> 3.y', y Garbage <br /> r9' Can <br /> ��f i� WaSer <br /> sco <br /> Ice Cooler is Scalftanuwam <br /> ?• ExrraIMBVSBFoodConWitr=nwsrbe Wastewalercontolner <br /> scored 61nChes ofroflAe 9=rdi <br /> Frio i602 PapeBof 17 <br /> 7/2erso TEMP EVENT APP <br />