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10. I am providing the following cold temperature control for the cold holding of potentially hazardous foods <br /> below 45 degrees Fahrenheit (if food is used the following day, maintain below 41 degrees Fahrenheit): <br /> [ ce chests [ ] Refrigerator [ ] Refrigerated truck <br /> [%41fce bath and tubs j-f Other(specify): <br /> 11. I 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 /> sqDetergent, <br /> on (one tablespoon of bleach per gallon of water). <br /> bleach, and wiping cloths (cleaning towels). <br /> [Y�fub to store wiping cloths in bleach solution. <br /> 12. I area providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> Vf 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 <br /> boot. <br /> [ Water supply dispenser with warm water at a minimum of 100 degrees Fahrenheit(i.e. 5-20 gallon <br /> container with spigot). A separate tub (bucket or basin) for the collection of rinse/wastewater. Paper towels <br /> and a pump-style soap container. <br /> 14. Nwp of gesponsible persons to be present in booth during all hours of operation: <br /> "Important" All food vendor booths are subject to inspection. Please make a copy of this application <br /> in 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 Parade Manager three weeks prior to <br /> this <br /> 15. Completed by: <br /> Signature Title Date <br /> 5.20 Gal. <br /> Health Permit Ste HandweanWe- <br /> mo wrchank,0 <br /> olsn <br /> Paper Hand Towels <br /> Soap dbpanser <br /> Ctatlrlp BoaW Sanitlrer bucket- <br /> btesch a water for <br /> Propane Stove Bleach Start"wlphlp cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Soap and Water Rinse Waler Bleach and Water Garbage <br /> Can <br /> Fire Extl�uisher <br /> / Eztra <br /> KYelet <br /> Ice Cooler 5 Gal Hand wash <br /> Extra lee Begs B Food Conlalners must be Wastewater Container <br /> stored(i Jnches oNot the ground! <br /> EHD 16-02 TEMP EVENT APP <br /> 07/14/15 <br /> Page 6 of 6 <br />