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10. I am providing the following cold temperature control for the cold ho'ding of potentially hazardous foods belov. <br /> 45T(if food is used the following day,maintain below 41'F temperature): <br /> Ice chests a Refngerator <br /> Refrigerated truck [Yoe bath and tubs <br /> �-'Other(specify) // <br /> 1 i. 1 am providing the following items within my booth for the sanitary cleaning of rood preparation utensils: <br /> OR Three compartment sink <br /> Three deep tubs (basins 6-3 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> elution(one tablespoon of bleach per gallon of water) <br /> Detergent, bleach. and wiping cloths(cleaning tow.rais; <br /> 1 j Test strips to measure sanitation levels for bleach solution m3asuring 100ppri. <br /> Tub to store wiping cloths in bleach solution measuring 100ppm. <br /> 12 1 am. providing the following for adequate hand washing facilities, b;t separate from utens:f 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 /> i One separate tub(bucket or basin)for the coliectior of nnseAsstewater. <br /> (4�6Papertowels and pump-style soap container. <br /> 13 Na-Ines of sponsible�pers rr�s.to be present in booth during al!hours of operation: <br /> `Important" M food vendor booths are subject to inspection. Please make a copy of this application <br /> preparation for this event. A copy of, this cheak!'st must be in the booth at al' 1'.o',x-s <br /> preparation and operation. Return original to festival coordinator three weeks prior to <br /> this event. <br /> 14. Completed by. —_-- <br /> Signature Title Date <br /> +; 5.20 .t <br /> Heath Permit t- Ham wept Wale- <br /> Stern ar/Cnal"; <br /> Dire <br /> =ap!,Haw---. <br /> . <br /> SYr:iape't5af <br /> �1.a,q Boaz3 SarllZer Dvdce�- <br /> b�:ex! <br /> P:;.are S:oae S t.ch s::nng•n+�i'9 ao;ttt <br /> ` Booth must be on <br /> t i Concrete.Asp' <br /> t alt. <br /> 00- - Plywood ar a Tarp, <br /> .. .. <br /> -/ i I =:r_'ar::!'dal< 41'd6 Water Q'Ea�`aftY:$alit 1 <br /> Garbago <br /> Can <br /> e Cooler <br /> EO'.see Baps S FsoY clrrv,q-s r.s•:+ L—V:atitr•aiar C:r'-tabor , <br /> — <br /> c ale 9 of 117V-?EVEN",APP <br />