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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 OF temperature): <br /> ❑Ice chests ❑Refrigerator <br /> ❑Refrigerated truck ( ❑Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. I 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 6-8 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 facilities, but separate from utensil wash within my <br /> booth: <br /> Water supply dispenser with warm water at a minimum of 100°F(Le-5-20 gallon container with spigot). <br /> �j One separate tub(bucket or basin)for the collection of rinsemastewater. <br /> Paper towels and um -style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> 37 <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 eve Y <br /> 14. Completed by: t /,, /,7 <br /> Signature Title bat6 <br /> 5-20 Gat. <br /> Health Permit Hand wash Water <br /> Stemow=atting <br /> (Nsh <br /> Paper[-land Towels <br /> Soap dispenser <br /> Sarttiaerbucket- <br /> bleach&watertor <br /> Propane Stove Biearh storing wiping cloths <br /> Booth must be on <br /> j Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Soap and Water Rinse Water Bteach and Water <br /> Garbage <br /> Can <br /> rlre ExUrx,7tist. <br /> Ice Cooler c' 5 Gal Hargwash <br /> Extra Im gags 6 Food Containers must be ler Container <br /> stored 6Inches Off Of the grouna! <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 7128110 <br />