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10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45GF(if food is used the following day, maintain below 41'F temperature): <br /> e 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 /> Q(Paper towels and pump-style soap container. <br /> 13. Names of respo sible 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: <br /> Signature Title -- Sato <br /> 5-20 Gal, <br /> Health Permit Hand wash water <br /> Slemo w/Cha%ing <br /> Dish <br /> Paper Hand Towes 4 <br /> Soap tlispenser _ ` '� <br /> Culling Board � �� 1\ i <br /> Sandizer bucket- <br /> P bleach&water for <br /> rope Bleach j.... rr ,r slonng wiping cloths <br /> P t _ <br /> I <br /> PrWarte Tank <br /> Soap and Wafer Rinse Wafer Bl—.h and Water <br /> ` Garbage <br /> F ire Expnguisher R Can <br /> Extra <br /> water <br /> Ice Cooler <br /> Seel Hand wash <br /> Exrre Ice Bags&Food Co Mainers must be Wastewater Container <br /> shred 49 inches WI of the groundl <br /> COMPLETE BOTH SIDES AND RETURN WITH EXHIBITOR AGREEMENT <br />