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i <br /> 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 /> ce chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs i <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 i <br /> solution(one tablespoon of bleach per gallon of water). <br /> &Ketergent, bleach, and wiping cloths(cleaning towels). <br /> i <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 /> { <br /> ❑Water supply dispenser with warm water at a minimum of 100'F(i.e. 5-20 gallon container with spigot). <br /> I <br /> i <br /> ❑One separate tub(bucket or basin) for the collection of rinse/wastewater. <br /> �aper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> ci U <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. 1 <br /> 14. Completed by: CAGUJ-1Gt ono , owner '4—2 <br /> Signature Title Date <br /> - 5-20 Gal. r <br /> Health Permit fiend wash Water <br /> t <br /> Slemo w/Chaffing <br /> Dish <br /> Paper I land Towels <br /> Soap dispenser <br /> Cutting Board <br /> Sanitizer buckel- <br /> bleech 8 water for <br /> Propane Stove Bleach storing wiping cloths <br /> Boolh must be on <br /> �. <br /> 4< Concrete,Asphall, <br /> Plywood,or a Ta <br /> rp. <br /> Propane Tank <br /> Soap and Wale, Rinse Walar Bleach and Water Garbage <br /> Can <br /> tiro Extinguisher j <br /> Extra <br /> Water <br /> i <br /> Ice Cooler S Gal Hand wash <br /> Fxtra Ice Bags 6 Food Conlainers must be Wastewater Container <br /> ..-.._...............,._._...... stored B Inches off or the ground! <br /> COMPLETE BOTH SIDES AND RETURN WITH EXHIBITOR AGREEMENT <br />