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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 Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. 1 am providing the following items within my booth for warewashing: <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 /> 12. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> �etergent, 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 /> Water supply dispenser with warm water at a minimum of 100°F (i.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-style soap <br /> container. <br /> 14. Na es of respons' a persons to be present in boo h during all hours o o eratio_nn- <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 a operation. Return original to festival coordinator three weeks prior to <br /> this event. <br /> 15. Completed by: <�,-ojc,, <br /> ,1 4�6,( t <br /> 'Signature Title Date <br /> 5-20 Gal. <br /> Health Permit Hand wash Water <br /> Stemo wlChafflng <br /> a3sh <br /> Paper Hand TowWs <br /> Soap dispenser <br /> Cu1Gng Board SanItzer bucket- <br /> bleach&water for <br /> Propene Stave Bleach <br /> storing wiping cloths <br /> Booth mast be an <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Soap and Wafer i2insa Wator Bleach and Water <br /> Garbage <br /> Can <br /> Fire E4ngulsher <br /> L-bra <br /> Water <br /> Ice Cooler 5 Gal Hand was <br /> h <br /> atra Ice Bags d Food Contafn6m most be Wastewater Container <br /> stored Blnches offof fhe ground! <br /> EHD 16-02 Page B of 11 TEMP EVENT APP <br /> 7114/15 <br />