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10. 1 am providing the following c ;mperature control for the cold holding of pote ✓hazardous foods below <br /> 457(if food is used the follod.,,ig day,maintain below 41°F temperature): <br /> • [-tce chests ❑Refrigerator <br /> Refrigerated truck (-tom bath and tubs <br /> [�Qther(specify) <br /> 11. 1 am providing the following items within my booth`or tine sanitary cleaning of food preparation utensils: <br /> ❑Three compartment sink. <br /> OR <br /> Q 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 /> E%4-Hest strips to measure sanitation levels for bleach solution measuring 100ppm. <br /> S�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 /> [� 4ater supply dispenser wfth warm water at a minimum of 100`F(i.e. 5-20 gallon container with spigot). <br /> ❑One separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> (, Paper towels and pump-style soap container. <br /> 13. N es of res ible persons to b�Ipresent in booth during all hours of operation: <br /> z �u.AIi d .s pr <br /> u( <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 /> thi event. <br /> 14. Completed by: A �r <br /> Signature Title Date <br /> ...i 5-20 Gal. <br /> Health Permit '°` Hand wash Water <br /> stem�wlChe��� I <br /> Dish Paper Hand Towels <br /> Sots 3�spanser <br /> Cutting t3aard \ Saniszer bucket- <br /> bleach&water for <br /> Propane Stosse Bleach storing wiping cloths <br /> I <br /> Booth must be on <br /> Concrete,Asphalt, <br /> " Plywood,or a Tarp. <br /> -- Ssap and AJatar Rinse Water Sleaclt and Water Garbage <br /> Can <br /> i F'se Extinguisher <br /> extra <br /> Water <br /> Ice Cooler <br /> I � - - - 3 Gal Hand wash <br /> i �,.' Exfra ue Bags 6 Focd Contarrmrs rrusf be Wastewater container <br /> stared 6Inches off a. groum7 <br /> EHD 18-02 Page E of 11 TEMP EVENT APP <br /> 1114114 <br /> TEMPORARY FOOD VENDOR'S APPLICATION <br />