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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. 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(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 pump-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 /> preparatio and operation. Return original to festival coordinator three weeks prior to <br /> this eve <br /> 14. Completed by: Q�/y��/ Z A* 4G <br /> Signature Title Date <br /> Health 5-20 Gal- <br /> ePermlt ,-' Sterno w/Chaffing Hand wash Water <br /> Dish <br /> Paper Hantl Towels <br /> Soap Dispenser <br /> Cutting Board <br /> Sanitizer buc ket- <br /> Neach 8 water for <br /> Propane Sfove Bleach storing wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Propane Tank „O.�_ <br /> ' - Soap and Water Rinse Water Bleach and Water <br /> Garbage <br /> Fire EAnguisher Can <br /> Extra <br /> Water <br /> Ice Cooler <br /> 5 Gal Hand wash <br /> Extra Ioe Bags 8 Food Containers must be Waste,—ter Container <br /> -- '----•----' stored 6 inches ofY or(ne ground' ' <br /> �.w <br /> 72810 Page 8 of 11 <br /> TEMP EVENT APP <br />