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I am providing the following temperature control for the cold holding of pc. .ially hazardous foods belovv <br /> 45°F(if food is used the following day,maintain below 41°F temperature): <br /> XIce chests ❑Refrigerator <br /> ❑Refrigerated truck Xice bath and tubs <br /> ❑Other(specify) <br /> 11. I am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> Three compartment sink. <br /> OR <br /> hree 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 /> Detergent, bleach, and wiping cloths(cleaning towels). <br /> 1�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 facilities, but separate from utensil wash within my <br /> booth: <br /> Water supply dispenser with warm water at a minimum of 1007(i.e. 5-20 gallon container with spigot). <br /> ❑One separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> j (Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present i both during all hours of operation: <br /> 4 V n f ca 12Tr4-V7 l'eSt 4IZ- <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 Return original to festival coordinator three weeks prior to <br /> this,eVent. <br /> 14. Completed by: <br /> Ignature T Title Date <br /> 5-20 Sal <br /> Health Permit = — Hand warn water <br /> Steno w/ChaBim \ <br /> ?aFer HanG Towers <br /> � Soac dispe^ser <br /> Cutting,5oa17 Sar44xer Oucket- <br /> bleach E water for <br /> Propane Stova Bleach <br /> storing wiping ctoins <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood.or a Tarp. <br /> Soap any Water Ruse V.�ater B!ea�and Water Garbage <br /> i <br /> Fo-e Exanguishar Can <br /> Extra <br /> iNater <br /> rice Cooler ! ' ��__.._,..>-- <br /> I r?-_ <br /> 5 Gal Hand Wash <br /> �� i,, Extra!ce Hags 6 Food Containers must be Wastewater Container <br /> s!�.ed 6 inches otf of the grour7l <br /> EHD 18-02 Pa;e a of 11 TENP EVENT APP <br /> 11;4M4 <br />