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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 OF temperature): <br /> xk e chests ❑Refrigerator <br /> ❑ Refrigerated truck ❑Ice bath and tubs <br /> ❑Other(specify) <br /> 11. I am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> OR Threecompartment sink. <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 /> *ater supply dispenser with warm water at a minimum of 100*F(i.e. 5-20 gallon container with spigot). <br /> *ne separate tub(bucket or basin)for the collection of rinsetwastewater. <br /> ?Paper towels and Pump-style soap container. <br /> 13. Naf ps of respon ' le persons to be present in booth during all hours of operation: <br /> -77 <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 /> preparafion.and operation. Return original to festival coordinator three weeks prior to <br /> this event; - <br /> 14. Completed by: <br /> y - -kAJ�vc>^ 3-1 -26 <br /> Signature Titles Date <br /> 5.20 Gal. <br /> Health Permit Hand wash Water <br /> Steno wvChaffrng <br /> Dish <br /> ��_, Paper Hand Towels <br /> Soap dispenser <br /> Cutting Boarcf �� <br /> Sanittzer bucket- <br /> bleach&water for <br /> Propane Stave Bleach r storing wiping cloths <br /> , t <br /> I Booth must A <br /> al p be on <br /> Plywood,of <br /> Propane Tank . <br /> Soap and Water Rinse Water Bleach and Water <br /> Garbage <br /> Fire Exlatguisher <br /> Can <br /> Extra <br /> Water <br /> Ice Codle f r{Y na, ro t t S Gal Hand was <br /> Cin <br /> Extra Ice Bags 8 Food Containers must Ue Wastewater onta or <br /> stored 8 inches ors o1 the ground! <br /> COMPLETE BOTH SIDES AND RETURN WITH EXHIBITOR AGREEMENT <br />