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(' 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 457(if food is used the following day,maintain below 41°F temperature): <br /> ❑Ice chests ZRefrigerator <br /> [Refrigerated truck ❑ Ice bath and tubs <br /> ❑Other(specify) <br /> 11. I 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 /> [Detergent, bleach,and wiping cloths(cleaning towels). <br /> ❑Tub to store wiping cloths in bleach solution. <br /> 1Z. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth <br /> [ Hater supply dispenser with warm water at a minimum of 100°F(i.e.5-20 gallon container with spigot). <br /> Q 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 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. Return orl-ginal to festival coordinator three weeks prior to <br /> this event.14, Completed by: Y M &ntbj ALAV ���i h <br /> Signature title f Date <br /> 5•20 Gal <br /> Hand,,ash'Haler <br /> Health Permit <br /> stereo wrCndIImy <br /> olsil Paper Hand rowels <br /> ���� JdaC di5pan52r <br /> Saritlier OUcxet• <br /> CuRinrf Hoard bleach 3.wa!ar'dr <br /> sicricg.wiping::cths <br /> Blaach <br /> Propane stood <br /> Booth must be on <br /> Concrete. a Tarp <br /> Ply�r000d,orr a Tarp <br /> ?rdpare TaisF <br /> soap and wale, liinsn;Pater 31earn and',vale, Garbage <br /> Can <br /> Fre Emnymsner <br /> csU1 <br /> Ice Cooler I 5Gal lardaasn —� <br /> �titra'CO dAQS 3= :�^rg;L tir t'nvsr 0,. <br /> 1'r�srewater Con!ainar <br /> srdrdd 5 rncnds an�a+�.� uae' <br /> EHD 16-02 <br /> Page 11r0 1 t T7%1P a—VENT APP <br /> oB101it 5 <br />