Laserfiche WebLink
2092396131 10:51:03 a.m. 05-31-2018 3/5 <br /> 10. , l am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45eF(If food is used the following day,maintain below 41 OF temperature): l <br /> I <br /> ❑ Ice chests Refrigerator <br /> 'Refrigerated truck ❑ Ice bath and tubs <br /> ❑Other(specify) <br /> .i <br /> i <br /> 11. 1 am providing the following items within my booth for warewashing: { <br /> 21'h-ree compartment sink. l <br /> OR i <br /> i <br /> ❑'Three deep tubs (basins 8-8 inches minimum), one for soapy water, one for rinsing end one for a bleach <br /> solution(one tablespoon of bleach per gallon of water). <br /> 12. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> t <br /> etergent, bleach,wiping cloths(cleaning towels), and a tub to store wiping cloths in bleach solution. I <br /> i. <br /> 13. 1 em providing the following for adequate hand washing facilities, but separate from utensil wash within my booth: 4 <br /> Ater supply dispenser with wan•n water at a minimum of 100'F (Le. 5-20 gallon container with spigot). A { <br /> separate tub (bucket or basin) for the collection of rinse/wastewater, Paper towels and a pump-slyle soap <br /> container. <br /> 14. Names of responsible persons to be present In booth during all hours of operation: <br /> "Important'" Ail food vendor booths are sub)ect 10 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. I <br /> 15. Completed by �, =I �/(�� l` yT'1 CQ (tY�Gu�r .; ram' (01 <br /> Signature 'Title Date 1 <br /> { <br /> 6-20 Gd. <br /> Health Permit HandwoshWater <br /> Bterno wfChoftlnp <br /> Dbh Paper Hand Towels i <br /> { <br /> Seep dEepenaer � <br /> Wiling Board 6an{tizet butitet- <br /> b6,=b b Weler for { <br /> atcdng wiping clo { <br /> Propane Stove 61�Gh <br /> F <br /> oth must be on <br /> ncrete,Asphalt, <br /> wood,o r a Tarp. <br /> Propene Tenk <br /> ..!�ts.r.��et�-y�t�•'�!t=: ,rx,^.�, �rr"''=:i,� ':��:rs_`���i`.ti f, i>-::��i,�'_ri3°t�kk�i'`;r.'ti:<n�i;'.,�x I <br /> SOAP and Water RnseWa'tr 9leachendweb, Garbage j <br /> Can <br /> ;-I <br /> ICe Cooler 6 Gal Hmndwash <br /> Ejdra toe Bag*d FoW ConWwra mwf be yleshweter contelner <br /> stored a buhea off o/the prourdl I I <br /> l <br /> 1 I <br /> i <br /> END 18.02 Page 8 0l 11 TEMP EVENT APP <br /> TI54{15 1 <br />