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10. <br />11.I am providing the followin terns within my booth for the sanitary cleaning of foo preparation utensils: <br />□ Three compartment sir <br />OR <br />rinsing and one for a bleach <br />jleach per gallon of water). <br />□ Detergent, bleach, and iping cloths (cleaning towels). <br />□ Tub to store wiping clo 5 in bleach solution. <br />12.] for adequate hand washing facilities, but separai from utensil wash within my <br />tater supply dispense vith warm water at a minimum of 100°F (i.e. 5-20 ga m container with spigot). <br />One separate tub (buc t or basin) for the collection of rinse/wastewater. <br />Paper towels and pum style soap container. <br />Names of responsible per13.ns to be present in booth during all hours of operatic <br />**lm portant** <br />t. <br />Completed by:14. <br />Signature <br />latfing <br />Paper Hand Towels <br />Soap dispenser <br />Cutting Board <br />BleacnPropane Stove <br />Propane Tank <br />Soap and Water Rinse Water Bleacn and Water <br />Fire <br />Ice Cooler <br />TEMP EVENT APPPage 8 of 11EHD 16-02 <br />7/28/10 <br />I am providing the follow <br />booth: <br />I am providing the followir <br />45°F (if food is used the <br />Extra Ice Bags < <br />stored 6 inches <br />All fooc <br />prepare Ifcn for this event. <br />prepare [>n and operation. Return original to festival coo <br />this ev <br />endor booths are subject to inspection. Please ms <br />A copy of this checklist must t <br />cold temperature control for the cold holding of pot ntially hazardous foods below <br />llowing day, maintain below 41 °F temperature): <br />□ Refrigerator <br />□ Ice bath and tubs <br />e a copy of this application in <br />in the booth at all hours of <br />linator three weeks prior to <br />Garbage <br />Can <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 v <br />D <br />cd Containers must be <br />if the ground! <br />Extra <br />Water <br />5 Gal Hand wash <br />Wastewater Container <br />5-2< <br />Hand w <br />Sal <br />i Water <br />£2 "'6’' 2-qi 7 <br />DateTitle <br />□ Three deep tubs (bas ; 6-8 inches minimum), one for soapy water, one ft <br />solution (one tablespoon c <br />□ Ic^chests <br />Ej Refrigerated truck <br />□ Other (specify) <br />|nguisher <br />| Health Permit [