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FEB-21-2817 03:07 Frorn:FMB-MARKFAX To:3699185 Pa9e:2"2 <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> i 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 /> OFA <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 1007 (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 /> preparation and operation. Return original to festival coordinator three weeks prior to <br /> this event- <br /> 14. Completed by: Jo-rah cy r U P o-r /O' -7 <br /> Signature Title Date <br /> 5-20 Gal. <br /> Health Permit StsHand wash Water <br /> mv w/Chafrra3 <br /> Dish <br /> Paper Hand Towels <br /> Soap diaDen8ef <br /> Cutang Board Sanitizer bucket- <br /> bleach&water for <br /> Propane otvve <br /> Beach stonng wiping dotes <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> •••<i? Soap and water Rinse Water 0leach and Water Garbage <br /> f� Can <br /> ' Fire Eutnguisner <br /> EX rB <br /> water <br /> Ice Cooler 5ca]Hand wean <br /> QYra rce Bags&Food Contalners must De VdaSt@water Container <br /> sro eo 6 rnd)es o&of the grounCl <br /> EMD 16-02 Page B of 11 TEMP EVF-NT APP <br /> Oti/01116 <br />