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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 /> E-I ec 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 /> ❑ 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 /> El 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 /> ❑ Water supply dispenser with warm water at a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> VOne separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> ❑ Paper towels and pump-style soap container. <br /> 13. mes of respons'ble persons to be present in Lpoth during all hours of o rpti n: <br /> � t <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. <br /> !' 4 <br /> 14. Completed by: <<. <br /> Sig ` Gre Title Crate V <br /> k 5-20 Gal. <br /> Sri <br /> Health Permit Ste Hand wash Water <br /> mo w/Chaffing <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board <br /> Sanitizer buckel- <br /> bleach&water for <br /> Propane Slove Bleach storing wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Ptywaod.or a Tarp. <br /> Propane Tank - <br /> Soap aril Water Rinse Water Bleach and Water <br /> L Garbage <br /> Fire Extinguisher <br /> Can <br /> Extra <br /> Water <br /> t Ice Cooler <br /> T, a- 7 <br /> 5 Gal Fiend wash <br /> Extra Ice Bags B Food Containers must be Wastewater Container <br /> `.._- _ ..._. .._........_._... stored 6 inches off of the ground' <br /> COMPLETE BOTH SIDES AND RETURN WITH EXHIBITOR AGREEMENT <br />