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2092396131 10:51:48 a.m. 05-31-2018 5/5 <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45OF(if food is used the following day, maintain below 41 OF temperature): <br /> CE 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 /> ❑ 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 /> 0 Paper towels and pump-stvle soap container. <br /> 13. N mes of responsible persons to be resent in booth during all hoof operation: <br /> Sher l v4 Si r K t -7 a t� 6-1i/1c l 11111. 4AZ.w�k td <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. CompletedC���LI�� <br /> Sigrfat Title Date <br /> 5 20 Ga, <br /> . <br /> Health Permit Hand wa h Water <br /> Steno w/Ch¢l(ng <br /> blsh <br /> Paper I land Towels <br /> Soap dispenser <br /> Cutting 800rd saniiimr b uitet- <br /> Weach&water r¢r <br /> Propan¢Stov¢ R <br /> storing wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> �Pr¢pme Tans. Soap and Water RinseWaand Water <br /> s Garbage <br /> Can <br /> FVe F,(tlnt7t�tgttef <br /> E>tva <br /> Wolar <br /> Ice Cooler I 5 Gat Hand wash <br /> Ealr�{ce Sags 6=ContW-�-w-s Way7ewntar Conwiners!ore061nches o <br /> COMPLETE BOTH SIDES AND RETURN WITH EXHIBITOR AGREEMENT <br />