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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 /> D 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 /> so ution(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 /> 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 /> 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 rinsetwastewater. Paper towels and a pump-style soap <br /> container. <br /> 14. Names of responsible persons to be present in booth during all hours of operation: <br /> uA <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 original to festival coordinator three weeks prior to <br /> this event. <br /> 15. Completed by: 2 7_ <br /> Signature Title Date <br /> 5-20 CA. <br /> Health Permit Hard wash`"star <br /> Starno w1C:halltrrg <br /> Dish Paper Had Towels <br /> Soap�� <br /> lXiSnp Board Sandw bucket- <br /> bleach 3 water for <br /> P >e stove aleech Ong wpm ckfts <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plyowod,or a Tarp. <br /> soap ad water Rinse water fah WA avatar Garbage <br /> Can <br /> FYe Emnossher <br /> E,aa <br /> • wets <br /> 1 <br /> Ice Cooler 5 Gal Hadxash <br /> B&a Ice Begs 6 Food Conn kws must be wastewater Cadakw <br /> stored a nxhes dror tx gmunw <br /> EHD 1"2 Page 8 of 11 TEMP EVENT APP <br /> 7114/15 <br />