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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 cF temperature►: <br /> Wce chests [J Refrigerator <br /> J Refrigerated truck Ice bath and tubs <br /> ❑ Other fspecify) <br /> 11. I am providing the following items within my booth for warewashing. <br /> J 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 gailon of water). <br /> 12. 1 am providing the fallowing 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 /> 13. 1 am'providing the following for adequate hand washing facilities, but separate from utensil wash within my booth. <br /> LrJ Water supply dispenser with warm water at a minimum of 100'F 0 e. 5-20 gallon container with spigot). A <br /> separate tub (bucket or basin) for the collection of rinse/wastewater Paper towels and a pump-sjyie soa <br /> container <br /> 14. 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 ropy of this checklist must be in the booth at all hours of <br /> preparation and operation Return or to festival coordinator three weeks prior to <br /> this event. <br /> 15. Completed by: _ 3 <br /> Signature 1"itte <br /> Sao oil { <br /> Health Permit C +4ano,vaeh VVarar i <br /> SSBff10 wlG.he}!+rt� <br /> oan <br /> r4pgr riar+tl Trnves <br /> �vlhrvd Foam <br /> Sanryzer hritkel <br /> Propane 5Leve bleed+L•rarer for <br /> C oacr sLPnn9 w�na GDR1F <br /> Booth must be on <br /> . Concrete.Asphalt, <br /> Plywood.or a Tarp <br /> Propane Tana <br /> Soap and'Nawr Rinvo w¢rcr Sewn 4nd blew <br /> Garbage <br /> Fire Flt vp- Can <br /> Gh'A <br /> Y�al� <br /> Ice cociiie <br /> I F 53e'Nnnc wxih <br /> r13-kA aegs d Foal C4r,+s:ne.s M'31 6a l•Lasleworer c6lavw <br /> ..---"`�----"—' Vamd Q#Mhet afrof rAe gmund, <br /> EHD 18.02 7114I1- P�ge B 1. <br /> TEMP EVENT AP- <br />