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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 /> Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> ❑Three compartment sink. <br /> OR <br /> 7 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 /> 9 Detergent, bleach, and wiping cloths(cleaning towels). <br /> X 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 /> 9 Water supply dispenser with warm water at a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> 0 One separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> 0 Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Rosie Paz Marquez <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: ,, Co-Owner 3/2/2016 <br /> / S gnature Title Date <br /> s 5-20 Gal. <br /> '+, Hand wash Water <br /> Health Permit <br /> Sterno w/Chaffing <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board Sandizer bucket- <br /> bleach 8 water for <br /> propane Stove Bleach storing wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> propaneTank - .:. _..... _ ....�_"-___. _.... ..._..... ..._...W_. ...:.: .. .....:...._.. ._. <br /> Soap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fire Extinguisher <br /> Extra <br /> Weler <br /> Ice Cooler '77777 =` S Gal Hand wash <br /> Extra Ice Begs 8 Food Containers must be Wastewater Container <br /> ----- ----------- stored 6 inches off of the groundr <br /> EHD 16-02 Page a of 11 TEMP EVENT APP <br /> 7128110 <br />