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• 10. I am providing the following —d temperature control for the cold holding of pctett.ralhj hazardous foods below <br /> 45`F(if food is used the following day,maintain belovr 41 T temperature): <br /> ce c`:es;s ❑Rehigerator <br /> Refrigerated truce. _ ce bath and tubs <br /> D ther(specify)_ <br /> 1. I am providing the follcwing items path n my booth`or the san tary cleaning of food preparation utensils: <br /> ❑Three compartment sink. <br /> OR <br /> (•] Three deep tubs (basics ncnes n-:nimum), one for soapy veater, one for rinsing a7ld one for a bleach <br /> solution(one tablespoon of bleach per gallon of water) <br /> ❑ Detergent,bleach,and v0ping cloths(cleaning towais). <br /> !7 Test strips to measure sanitation levels for bleach solution measuring 100ppm. <br /> ❑Tub to store wiping cloths in bleach solution measuring 100ppm. <br /> "2. i are, 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 100`F(Le.5-20 gallon container with spigot). <br /> El One separate tub(bucket or basin)for the collection of rinsekvastawater. <br /> ❑Paper to-wels and Dumo-style soap container. <br /> 13. Names of rsp i le persons fo be.95esent in booth dud,c all hours <br /> OT operation: <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 peration. Return original to festival coordinator three weeks prior to <br /> this�v <br /> 14. Completed by. �G✓iv�P/ <br /> Signature Title Date <br /> — <br /> 5dJ Gat <br /> Health Permit <br /> ( °apex Harr:.Tswhts <br /> Sarctza:tLcre;- <br /> .le an&dater fcf <br /> sllnrtg,w.,in;9ofts <br /> f ' <br /> Eooiti rnu5 be on <br /> I .. Concreta.Fsphalt. <br /> I'lyti;rood,or a Tarp. <br /> ---% i I __w er!:':ai;u Pi^se•,•:'e'er l E:-a:`ana:",ate: Varbege <br /> Can <br /> Ice Cooler <br /> --.—_.,.....�_. ,T..... a r-a.-a .asn r <br /> - s 1 Fees Cortanez r.�;rsf to :.'35 ^+tale+,.-...;,.;cr <br /> c11'G1'14-C2 Pa^-°et li TEttP SVENT APP <br />