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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 /> ❑ Ice chests URefngerator <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 /> 9 l hree 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 /> ❑ Detergent, bleach, and wiping cloths(cleaning towels). <br /> ❑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 persons.to be present in booth dury�g all hours of oppr to <br /> 'f\ 1 lL S i A <br /> 1 C tr n G <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 /> this event. <br /> 1 <br /> 14. Completed by: J��'` <br /> Signature Title Date <br /> 5-20 Gal, <br /> Health Per Hand wash Water <br /> Stoma wlChaffing <br /> Dish <br /> Paper Nand Towels <br /> Soap dispenser <br /> Cutting Boartl Sanitize r bucket- <br /> bleaQh d wafer for <br /> Propane Slave Bleach storing wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Soap and Water Rinao Waler Bleach and Water Garbage <br /> Cars <br /> Fire Extinguisher <br /> 6dra <br /> Water <br /> rce Cooler 5 Gal Hand wash <br /> Extra fce Begs d Food Coatairrars must he Wastewater Container <br /> — stored 6 etches off of the ground! <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 06/01116 <br />