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30. 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 El Ice bath and tubs <br /> ❑Other(specify) <br /> 19. I am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> E]Three compartrnent 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 /> 2. 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 I00*F(i.e.5-20 gallon container with spigot). <br /> V One separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> �Paper towels and puma-style soap container. <br /> 13. dames of responsib persons t b epent in booth during all hours of operation: <br /> �•-5 <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 /> S' acre Title Date <br /> 5-20 Gat. <br /> Health Permit Fardwash Water <br /> Steno w/Chaft>ng <br /> Qsh <br /> Paper Nand Teyels <br /> Soap dispenser <br /> Saritizer bucket- <br /> bleach&water for <br /> Prepaoa Stove gl f storing wip!ng doths <br /> �t <br /> f <br /> Booth fntlsf be on <br /> Concrete,Aspha3t, <br /> Plywocd,or a Tarp. <br /> J soap Water Rinse Water Bleach and Water <br /> _ Garbage <br /> tx Can <br /> Fire Exlirrgcnsher <br /> ice Cooler SGal Hand wash <br /> Ed a roe Bags S Food Gonrainers must De W astcwaler CaAaAar <br /> stored 61rUles oft of fhe ground! <br /> EHD 16-02 Page 8 of 11 <br /> 712M0 TEMP EVENT APP <br />