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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 /> ❑ 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 /> X 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 <br /> solution(one tablespoon of bleach per gallon of water). <br /> ❑ Detergent, bleach, and wiping cloths (cleaning towels). <br /> El Tub to store wiping cloths in bleach solution. <br /> 1_> 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> water supply dispenser with warm water at a minimum of 100uF (i.e. 5-20 gallon container with spigot). <br /> (, One separate tub(bucket or basin) for the collection of rinse/wastewater. <br /> (�Paper towels and pump-style soap container. <br /> 13. Names of responsible 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 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 rior 1g <br /> this event._ <br /> 1 Completed by. <br /> Si ature Title _. !"late <br /> 1,.� ,.20 Gal <br /> 1(( Health Perm Ct 11end wash Watof <br /> ...^-.._^_.--..—) <br /> Bwtt � <br /> P"tpar ItaruY TUwa*IK <br /> Stu�p distwnser i <br /> Cutting Board .+` <br /> j .Sanitlzer UuCka{. <br /> bleach&waler for <br /> P>rr;7#_ eSlnve—j Eyleacn stormry-orno dolhs <br /> { iF }. B o v I h 111 .23d'Oil <br /> 1' t <br /> Propane r'u,k <br /> Snap and Water Rinse Wale, Bleach and Water <br /> �_� Garbage <br /> Can <br /> rwo Fx111xX,rstxar l <br /> Extra 33{{ <br /> WL�J <br /> .1 <br /> Ice Cooler <br /> . ," w<:. . 5 Gat stand wash <br /> 1((��Ewt,a+ Hags a Fotrd Containers must be Wastewater Crurt�ineo <br /> Sto,c�Y 6 inches off a.'me ground, <br /> COMPLE'l"E BOTH SIDES AND RETURN WITH EXHIBITOR AGREEMENT <br />