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10. 1 am providing the following coed temperature control for the cold holding of potentially hazardous foods below <br /> �457(if food is used the following day,maintain below 41-F temperature): <br /> L`J lce 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. G.%I <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 Weach per gallon of water)_ <br /> Ej 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 utensii %wash Lvithin my <br /> booth: <br /> -til�`1 l►n�.nr►: �s-�r �� s,y.SC.ty�►�ra1*r\+.r S <br /> Ll Water supply dispenser with w2rrn water at a minimum of 100'F (Ke_ 5-20 gallon container with spigot). <br /> LJ One separate:ub(bucket or basin)for the collection of rinse/wastevrater. <br /> ❑ Paper towels and pump-style&092 container. <br /> 13. Names of responsbil"D llel,"Onr,10 le present in booth during all hours of operation: <br /> `"Important" Ali G5 vendor booths are subiect to inspection: Please make a` y of this application in <br /> preparation for this event- A copy of this checklist must be in the booth a' all hours of <br /> preparation and operation. Return original to festival,coordinator three weeks prior to <br /> this event. - <br /> L� r <br /> 14. Completod by: <br /> S nature Title Date <br /> 5.W Gat <br /> Health Permit Harty warn Wo <br /> Stoma m��Cha7SNuj <br /> Dish <br /> Papnr HRnp Towels <br /> FAQ CIL,]tl[1.Cr ' <br /> C,UIRrrr,M!F .'jilWlZp/ta�ad_ <br /> �'rrnBCrl a vYilrC'r for <br /> aaw,m a [3iwcn ro-sraw'd^?csc-na <br /> =Plyvid <br /> saanar+awart. �w�� an,d,,,raawmo <br /> Garbage <br /> flro fallrurLfhtlr <br /> Can <br /> Exlra <br /> `Nalcr <br /> Ice Cooler <br /> Cato loe�&Faae Cae:otrrr�rwet bs I L111 <br /> astevralar tionlnfnrr <br /> shred6'rrr•lrlr W/ofHro giviwwV i <br /> H�7 o-C2 Poge B of i t <br /> ntirC'!40 l-DdP EVEW APP <br />