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> <br /> 10. 1 arrf 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 /> XD Other(specify) Artic Refrigerator <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 /> X Detergent, bleach, and wiping cloths(cleaning towels). <br /> ICJ 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 100OF (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 /> Janeen and Jeff Taplin <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 /> 14 Completed by. Owner 05/10/2024 <br /> Signature Title Date <br /> ���_.. ,. 5-20 Gal, <br /> Health Permit Iland wash Water <br /> Stemo wlCha%ing <br /> Paper Hand Towels <br /> Soap dispenser __... <br /> Cutting Board \ Sanrtizer brxket- <br /> oleach 11 walwr in, <br /> Wrnpane Stove Bleach -..� stonng wiping Orith.s <br /> I Booth wit,,! u„ <br /> iPropane Tank — — .,.....�,_...._.__.__. <br /> Soap and W�ler Rinse Water Bleach and Water Garbage <br /> Can <br /> f nn,Extmgwsher <br /> Extra � <br /> Water <br /> J <br /> Ice Cooler 7 SGalHaddwash <br /> "i�ire r?aqs 3 r rxxl Containers must he Wastewaler Container <br /> stored 6 ruches Wr o/the grrprnd' <br /> COMPLETE BOTH SIDES AND RETURN WITH EXHIBITOR AGREEMENT <br />