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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 /> 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 /> ❑OR Three compartment 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 /> I ]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 /> IC Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> �J c)HAI /)1 c(Y n/+7" f <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 pd r to <br /> this event. <br /> 14. Completed by: <br /> Signature Title Crate <br /> ��...�. � <br /> 5 20 Gal. <br /> Health Permit Hand wash Water <br /> Stemo w/Chaffing <br /> Dish <br /> Paper Hantl Tdwels <br /> Soap dispenser <br /> Gutting Board <br /> Sanitizer bucket- <br /> Pro ane Stnve bleach&water for <br /> p Bleach storing wiping cloths <br /> =Mbe <br /> PropaneTenk <br /> Soap and Water Rinse Weter Bleach and Water <br /> Garbage <br /> Fire Extinguisher <br /> Can <br /> Extra <br /> Weter <br /> Ice Cooler <br /> 5 Gal Band wash <br /> Extra Ice Begs&rood Containers must be Wastewater Container <br /> stored 6 inches off of the ground? r'i <br /> COMPLETE BOTH SIDES AND RETURN WITH EXHIBITOR AGREEMENT <br />