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Vote: Exarnples of potentially hazardous food include. meatLi, tamales,ciwked beans,rice vegetables, <br /> potata salad,eggs and dairy products. <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods <br /> i below 45 degrees Fahrenheit (if food is used the following day, maintain below 41 degrees Fahrenheit): <br /> [ ice chests [ ] Rehigerator [ ] Refrigerated truck <br /> [ ] [cc bath and tubs [ ]Other(specify): <br /> I am providing the tollowillg items within my booth for warewashing: <br /> VI'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 /> [ )Ustergent, bleach, and wiping cloths(cleaning tc)Nyels). <br /> Tub to store wiping cloths in bleach soution. <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 /> I3. 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 degrees Fahrenheit(i.e. 5-20 gallon <br /> c twiner with spigot). A separate tub (bucket or basin) for the collection of rinse/wastewater. Paper towels <br /> and a pump-style snan container. <br /> 14. Names of responsible persons t <br /> be present in booth during all hours of operation: <br /> **Important** All fcbod vendor booths ar;:subject to inspection. Please make a copy of this application <br /> in preparation for this event_ A copy of this checklist must be in the booth at all hours of <br /> preparation and operation. Return on ' al to festiv 1!coordinator ree weeks prior <br /> to this ever L <br /> 15. Completed by: <br /> Sig Title . <br /> lla i <br /> F3cuFth n lit <br /> he.%V <br /> nhi wex,.] ur a 7sy. <br /> tr_e Cooler t]l cdt•a.a,i,...4yan �iT. .:.s:a.�a _,.-.,. — <br />