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^ �^ <br /> ' <br /> ` � 8KA ! � M � [ � r~� �~���������� ����K�� [�� ��e����� <br /> ^���/� jU}�U \� � �� �� � °"~=: « , »"«^ �� � —" ="° ° <br /> 10 | 8m providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> »T= 45°F (if food is used the following day, maintain below 41,Fhampensture): <br /> LJ Ice chests F1Refrigerotor <br /> LJ Refrigerated truck El Ice bath and tubs <br /> El Other(specify <br /> 11 I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> El Three compartment sink. <br /> OR ��Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> o/ t ( tablespoon of bleach per gaUonofwoter). <br /> Yon�. bleach, and wiping cloths(cleaning tuwe|a). <br /> Kb to store wiping cloths in bleach oo|uUon <br /> 12. | am providing the following for adequate hand washing faoi|idem, but separate from utenail wash within my <br /> booth'. <br /> T&Water supply dispenser with warm water at a minimum of 1 00'F(i.e. 5-20 gallon container with spigot). <br /> One separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> ~SJ�,opartmwn�nand container. <br /> � <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 origin I to festival coordinator three weeks l2rior to <br /> this event. <br /> 14. Completed by: ~T <br /> Si8nmtur�\ Title Date <br /> « <br /> GaL <br /> sh Water <br /> Dish Paper Hand Towels <br /> Soap dispenser <br /> Sanitize'bucket- <br /> bleach&water for <br /> Bleach storing wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Rins Water Bleach and Water Garbage <br /> Can <br /> Fire Extinqui <br /> Ice Cooler 5 Gal Hand wash <br /> rExtra I Bags&Food Containers must be Wastewater Container <br /> storedcf7inches off of the ground' <br /> 1868 E. Hazelton Avenue I ShzoNnn. Cm|hbrnia 952051 T 200468-3420 1 F 209404'0138 1 wmxw.�gov.org/ehd <br /> Evo,*�' pageomll TEMP EVENT*pp <br />