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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 /> Ioe chests ElRefrigerator <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 /> deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> �`lutlor:eone 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 100eF (i.e. 5-20 gallon container with spigot). A <br /> separate tub (bucket or basin) for the collection of rinselwastewater, Paper towels and a aumD-style saga <br /> container. <br /> 14. Nam s of responsible persons to be present in booth during all hours of operation: <br /> `_�� i 2N <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. ry' <br /> 15. Completed by: Evetthf D' — ?1-3rlfA- <br /> Sigrfature Title Date <br /> s2o cal. <br /> Health Permit H&,tdwashwater <br /> Sterna wlChafling <br /> Dish <br /> Paper!'artd Tovrele <br /> Soao dispenser <br /> Curd g Board sanitliar bucket- <br /> INeach S"IV for <br /> Propane Shove Biaech s1oRnp Wpin9 dcths <br /> Booth must be on <br /> Concrete,Asphalt <br /> Plywood,or a Tarp. <br /> PrapaneTank � -- `�' <br /> Soap and Water wrue water 81each end water Garbage <br /> Can <br /> Fire 6ding�aher <br /> Ice Cooler 5 cal Hand wash <br /> Uto Ice says S Food Containers rrx�se he wastewater Container <br /> scored a inches off ime graundl <br /> EHo 1&02 Page 8 of 11 TEMP EVENT APP <br /> 7114115 <br />