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10- 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45°F(if food is used the following day, maintain below 41'F temperature). <br /> ❑ Ice chests ❑ Refrigerator <br /> ❑ R frigerated truck ` ❑ Ice bath and tubs <br /> [ ther(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 /> tee 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 /> q,Wa supply dispenser with warm water at a minimum of 100'F(i-e. 5-20 gallon container with spigot). <br /> M7"e rate tub(bucket or basin)for the collection of rinse/wastewater. <br /> P r towels and pump-style soap container. <br /> 13. Names of responsible persons t be present in booth during all hours of operation: <br /> (l { v�.1111 <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 ev nt <br /> t <br /> 14. Completed by: <br /> Signature Title Date <br /> •` 5-20 Gel. <br /> Health Permit Hand wash Water <br /> Slemo w/Chafing <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board Sanitizer bucket- <br /> bleach bleach&water for <br /> storing wiping cloths <br /> Propane Stove Bleach / <br /> _ ( Booth must r.fr un <br /> Colluele,Asptialf <br /> �lywo��•i rP.o Tarp. 1 <br /> Propane Tank —'—- <br /> Soap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fire Extinguisher <br /> Extra <br /> Water <br /> Ice Cooler 5 Gat Hand wash <br /> Extra Ice Begs 6 food Containers must be Wastewater Container <br /> stored 6 inches off of the ground! <br /> COMPLETE BOTH SIDES AND RETURN WITH EXHIBITOR AGREEMENT <br />