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10. <br />11. <br />OR <br />12. <br />13. <br />14. <br />Paper Hand Towels <br />Cutting Board <br />Propane Stove Bleach <br />Propane Tank <br />Fire Extinguisher <br />Page 8 of 11 <br />TEMP EVENT APP <br />III <br />EHD 16-02 <br />08/01/16 <br />^EHce chests <br />□ Refrigerated truck <br />□ Other (specify) <br />□ Refrigerator <br />'■0Tce bath and tubs <br />5 Gal Hand wash <br />Wastewater Container <br />5-20 Gal. <br />Hand wash Water <br />Sanitizer bucket­ <br />bleach & water for <br />storing wiping cloths <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />Stemo w/Chaffing <br />Dish <br />Extra <br />Water <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br />□ Three compartment sink. <br />Bleach and Waler <br />Extra Ice Bags & Food Containers must be I i <br />stored 6 inches off of the ground! I <br />L -------- <br />Health Permit - <br />Title <br />Ion container with spigot). <br />7/rln <br />Date <br />E} Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 galli <br />/.Q One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />C3 Paper towels and pump-style soap container. <br />Garbage <br />Can <br />t0 66 PreSent 'n bO°th dunng aN hours of °Peration: <br />“Important** All food vendor booths < ~ ~ ~ ------------------ <br />preparation for this event. A copy of this checklist must be in the booth at all <br />preparation and operation. Return original to festival coordinator three weeks <br />inis event. <br />Completed - <br />Signature <br />^ra P^iding the following for adequate hand washing facilities, but separate from utensil wash within my <br />Soap and Water Rinse Water <br />I Soap dispenser <br />s°uoMon:^ a Ceaoh <br />—S^etergent, bleach, and wiping cloths (cleaning towels). <br />>ETTub to store wiping cloths in bleach solution. <br />are subject to inspection. Please make a copy of this application in <br />2n.. A copy of this checklist must be in the booth at all hours of <br />i prior to <br />Ice Cooler JI