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temp food_app_main 1.. <br /> A9 <br /> I <br /> 10, 1 am providing the following cold temperature control for the cold holding of potentia!iy hazardous foods aeic.ar <br /> 45`F(if food is used the following day,maintain belai+41`F temperature): <br /> * chests ❑Refrigerator <br /> refrigerated truck ❑!ce bath and tubs <br /> L�!Other(specify) <br /> 11. 1 am providing the following items within my booth for the sanitar/cleaning of food preparation utersiis: <br /> 6?!�ree compartment sink. <br /> OR - <br /> Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a t3leach <br /> solution(one tablespoon of bleach per gallon of water). <br /> Detergent,bleach,and wiping cloths(cleaning towels). <br /> D!!Test strips to measure sanitation levels for bleach solution measuring 100ppm. <br /> Tub to store wiping cloths in bleach solution measuring 100ppm. <br /> 12. 1 am providing the following for adequate_ hand washing fac',li`.ies, but separate from utensii %,ash within my <br /> booth: <br /> u Water supply dispenser with warm water at a minimum of 100`F(i.e.5-20 gallon container with spigot). <br /> One separate tub(bucket or basir)for the collectior of rinse/wastewater. <br /> ❑Paper towels and pump-stvt=_soao container. <br /> 13. Names of res�onsiblePersonsjo be presentin booth during all hours of operation: <br /> AA <br /> <7 1f I YA6! *�;•� r <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 o eration. Return or!ainai to festival coordinatorshree weeks prior to <br /> this event. <br /> 14. Completed by: Date <br /> si ature Title <br /> !;ero xcsr s'te=r <br /> Health Permit z <br /> smnaxC awy <br /> 7itR %apt-iiin.T.a::s <br /> Savo c'sceaser <br /> See!iU4'L'ueYe: <br /> C•.Mi.[oc� o:ee..5+.•e:er for <br /> st:rlrsp wxn;�v.^s <br /> eooth rnust be on <br /> / Concrete.Aspnsit. <br /> -' Ptrvrood.or a Tarp. <br /> L��9 <br /> ai,se•rsro:er E.eaastl e7ater Garbsg� <br /> Can <br /> %re x�:swr <br /> 6Cra <br /> 'J.Y.r• <br /> Ice Cooler i _. �`"" '- _ ,�d�ery.as, <br /> Ere re 8rgs 1 Fcsc CW:nre.'s <br /> 7.JY.9wrter_::.:ai.,cr <br /> EHD l@•C? <br /> Fapo?of 11 TEMP EVENT APP <br /> i ti:fi< <br /> httpsJ/mall-go0gle.corn/maiVu/0/#inbox/FMfcgxwChcgKzKxJlmvDpowhwz►sDjW W?projector-1&messagePartld=0.2 <br />