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I <br /> 10. am grovidl ig the fAll + ing cold#enZperature control for the cold holding of potentially hazartu>i� <br /> t?3rflki't},ta4" ,J- <br /> El chests Refrigerator <br /> r �.-.y xrod tub's i <br /> i—XKetrigeraceu tru— <br /> �]other(specify) i <br /> 11, 1 am providing the following items within my pootn for wafewaw IN qu, <br /> V'fh-r-'ee compartment sink. 1 <br /> OR A water, one for rinsing and one for a bleach ,�{ <br /> ❑Three deep tubs (basins 6-8 inches minimum), one for soapy l <br /> solution (one tablespoon at bleacll per gallon of water). <br /> booth for the sanitary cleaning of food preparation utensils: <br /> 12, lam providing the fallowing items within my <br /> i <br /> DB- <br /> etergent,bleach,wiping cloths(cleaning towels),and a tub to store wiping cloths In bleach solution. <br /> i <br /> t <br /> �3. lam providing the following for adequate hand washing fat;llities,but separate from utensil wash within my booth: 4 <br /> ater supply dispenser with warm► water at a minirnurn astewate(Le, 5-20 gallon and container <br /> ner With spiieosoa a <br /> separate <br /> tub bucket or basin) for the collection of nnselw � <br /> sepa ( ' <br /> container. <br /> 14. Names of responsible persons to be present in booth during all hours of operation: r' <br /> ir <br /> QthS are Subject to irispecC►orti. pie8s6 make a copy of{his application in <br /> 'important" food vendor b° of this checklist must be in the booth at all hours of <br /> Preparation for this event. A copy <br /> preparation and operation, Return ari anal to festival coordinator three weeks riar to <br /> this event. <br /> 15. Completed by: Titla Date l I <br /> Signature <br /> s-zo cos, <br /> trend%=hwator <br /> Health Permit 8ternorAChofling PepsrNandia�tinls <br /> Soap disgarssa <br /> Sao's5zer bucket• <br /> bleach Svmtar far <br /> atna4 award <br /> staring wiping ciodts <br /> Bleach <br /> Proparta Stove Booth must be on <br /> Concrale,Asphalt, <br /> plywood,or Trarp. <br /> propane Tank <br /> Ririe WB'sr Bieachard Walar Garbage <br /> Soso and Water Can <br /> FireF_xtin9�shera <br /> 6 Gal}�rdwasri <br /> Ice CoOier Ylasta�vaterGerslelner <br /> stored!ca a Bogs <br /> Wh s afFood a nfalne <br /> grove, must De <br /> TEMP EVENT AFP <br /> Page S of 1 t <br /> t=Nra is az <br />