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l <br /> 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): 3 <br /> [C]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: I <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. lam 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 /> t <br /> 13. lam providing the following for adequate hand washing facilities,but separate from utensil wash within my booth: t <br /> k <br /> 5- QJWater 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. Names of responsible persons to be present in booth during all hours of operation: t <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 <br /> 15. Completed by: <br /> S n tune Title ate <br /> ra20 Gel. <br /> Health Permit Hand wash Water <br /> Stemow/Chaftlng <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser• <br /> Cuitlrp Boanl Sanifizer bucket- <br /> bleadt 8waterfor <br /> Propane Stove Bleach storing wiping cloths <br /> - Booth must be on <br /> i Concrete,Asphalt, <br /> ! f Plywood,or a Tarp. <br /> Propene Tank - - - - - <br /> •r e`'e Soap end Water R(nsa Walor Bleach and Water Garbage <br /> ta's Can ; <br /> R.Extinguisher a <br /> Ice Cooler ` BGet Hand wash <br /> - Extra Ice Bags&Food Contalners must be Wastewater Container r <br /> -- - - - stored6inchasottortheground! <br /> 8 <br /> C <br /> EHD 16-02 Page B or 11 TEMP EVENT APP <br /> 7114116 994 <br />