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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 /> 2/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 the sanitary cleaning of food preparation utensils: <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 /> El Detergent, bleach,and wiping cloths(cleaning towels). <br /> El Tub to store wiping cloths in bleach solution. <br /> 12. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> ❑Water supply dispenser with warm water at a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> ❑One separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> ❑ Paper towels and pump-style soap container. <br /> 13. Names of responsible pers ns to be present in booth during all hours of operation: <br /> K�M S _ "I"R * Fllb9 loid CapV 77ER kEZ <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 original to festival coordinator three weeks prior to <br /> this event. <br /> M[1 N1f&S1Sr 05 J7 <br /> 14. Completed by: i" <br /> Signature Title Da e <br /> 5-20 Gal, <br /> Health Permit Hand wash Water <br /> Stereo w/Chaffing <br /> Dish <br /> Paper Hand Towels <br /> Soep dispenser <br /> Cutting Board Sanitizerbuckef- <br /> bleadt&water for <br /> Propane Stove Bleach storing wiping Goths <br /> Booth must be on <br /> --• Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank - <br /> :-,` Soap and Water Rinse Water Bleach and water Garbage <br /> Can <br /> Fire E tinguisher <br /> E�dra <br /> Water <br /> Ice CGGler -- Hand wash <br /> Extra Ice Bags&Food Containers must be Wastewater Container <br /> ------ ---- stored 6 inches off of the ground! <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 08/01/16 <br />