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10. <br />11. <br />OR <br />etergent, bleach, and wiping cloths (cleaning towels). <br />12. <br />13.present in booth during all hours of operation: <br />14.Completed by: <br />Signature <br />Paper I land Towels <br />Soap dispenser <br />Cutting Board <br />Propane Stove <br />a iwliiSiii <br />Propane Tank <br />. .-.v 1 Rinse Water Bleach and Water <br />Fire Fxlingutsher <br />Ice Cooler I <br />stored 6 Inches oH of the ground! <br />COMPLETE BOTH SIDES AND RETURN WITH EXHIBITOR AGREEMENT <br />I <br />Soap and Water <br />S^ce chests <br />□ Refrigerated truck <br />□ Other (specify) <br />I 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°F temperature): <br />Slemo w/Chafling <br />Dish <br />□ Refrigerator <br />□ Ice bath and tubs <br />Exira <br />Waler <br />5 Gal Hand wash <br />Wastewater Container <br />j§t£Water supply dispenser with warm water at a minimum of 100oF (i.e. 5-20 gallon container with spigot). <br />I^One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />Paper towels and pump-style soap container. <br />Booth must be on <br />Concrete, Asphalt. <br />Plywood, or a Tarp. <br />5-20 Gal <br />I land wash Water <br />Sanitizer buckel- <br />bleach & water lor <br />storing wiping cloths <br />Title <br /><-71. U <br />Date <br />Garbage <br />Can <br />‘‘Important** <br />Extra Ico Begs & Food Containers must be <br />stored 6 inches off of the ground! <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br />^^TiSfee^Smpartment sink. <br />Vf/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 />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 events <br />[^pTub to store wiping cloths in bleach solution. <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />I Bleach <br />Names of responsible persons to be present ii <br />I Health Permit