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...... ---- <br /> 1 0. i,am providing the Follo�N ing cold temperature control for the cold holdinlr. of potc'uti;aily hai:urlr„rn frav) <br /> below 4i degrees Vahrenlicit (if food is used the Following day, maiwain hclow 41 dc-pp.c." { :,hrr nhr rr� <br /> [1,t[ Ice chests [ J Refrigerator ( Ftefrigcrs led truck <br /> [ Ice bath and tubs [ [ Other(specify): <br /> 1 1. 1 am providing the following items within my booth for the sanitary cleaning of food prepsar llorr ut,*st•,rl t <br /> [ Three compartment sink <br /> OR <br /> (j Three deep tubs(basins 6-8 inches minimum), one liar soapy water, one liar rinsing and one for a h1c.0r11 <br /> solution (one tablespoon of bleach per gallon of water). <br /> [ } Detergent. bleach.and wiping cloths(cleaning towels). <br /> [ } Tub to stare wiping cloths in bleach solution. <br /> 12. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within m*4 <br /> booth' <br /> 1)Q Water supply dispenser�i ith warm water at a minimum of 100 degrees Fahrenheit(i.e. 5-20 gallon <br /> container with spigot). <br /> Kj One separate tub(bucket or basin) for the collection of rinse/wastewater. <br /> kj Paper towels and pump-stele soap container. <br /> 11. Names of responsible p_ � <br /> 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 <br /> in 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 arior <br /> to this event. <br /> 14. Completed by: <br /> . Signatu _._._. Title Date <br /> Health Permf, Magid warn wa o. <br /> S,e.no rwcnanuq <br /> Booth nxnt te on <br /> asr. <br /> Px4.Nxtf T v� <br /> Soap msponfOr .... <br /> Cumnp 8pmn SXV+_`N:vsve! <br /> Naen t..uw*s <br /> t>r<sPaG 5?rive 8feecn_-- f4r+y+N'y a:li.�f <br /> Frapuae Tangy ___—. _. <br /> -/ S—P anp Waeor fturyp Watar BIliCh—d Wtlter <br /> fna Exfv+gnsner <br /> Can <br /> E.va <br /> ,.�-- Wabt <br /> (t Ice Cooler <br /> r f 6..7s a F«xr cmrtN,.o. rc nu was.«.aa co.ra+m <br /> srorud G r on ur rn. wr.rl <br /> EHD i6-U2 <br /> l UNtr t%FN I-.art• <br /> 07P-8no <br />