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10. 1 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 /> IM/Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑Other(specify) <br /> 11. 1 am providing the following items within my booth for warewashing: <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 /> 12. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> Detergent, bleach,wiping cloths(cleaning towels), and a tub to store wiping cloths in bleach solution. <br /> 13, 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my booth: <br /> water supply dispenser with warm water at a minimum of 100°F (Le. 5-20 gallon container with spigot). A <br /> separate tub (bucket or basin) for the collection of rinse/wastewater. Paper towels and a pump-style soap <br /> container. <br /> 14. 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. Retum original to festival coordinator three weeks prior to <br /> thi event. <br /> 15. Completed by: <br /> Signature Title VD-ate <br /> 5-'20 CIA. <br /> H Permit w'W <br /> ealth <br /> �* Paps rtana'rowes <br /> soev <br /> outlet- <br /> D'E�ettl 8 mler fp <br /> Prepa^.e SkNe <br /> Btea[h Goring wipag dolhs <br /> Booth must be on <br /> Concrete,f�sphalt, <br /> Plywrwd,or a Tarp. <br /> Propane 1aM <br /> SCQP xw water Rase way 8'eadl a-0 Water Garbage <br /> Can <br /> Ere Ex&Vj a <br /> Ex�'a <br /> wtJer <br /> rice Cooler (j, 5 Gal HarW wavl.• <br /> Ewa Igo 8&gs L FOCd COniaaxrs m,,K be WAVRwaler coma <br /> . - - s;'Jred 6 nCft°s td!o!me <br /> ENO 16.02 Page 8 of 11 TEW EVENT APP <br /> 711 AJ15 <br />