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e <br /> 10, 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45eF(if food is used the following day,maintain below 41°F temperature): <br /> ❑Ice chests Refrigerator <br /> Refrigerated truck ❑Ice bath and tubs <br /> ❑Other(specify) <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> 56Three 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 /> solution(one tablespoon of bleach per gallon of water). <br /> O'Detergent, bleach, and wiping cloths(cleaning towels). <br /> ❑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 /> NWater supply dispenser with warm water at a minimum of 100'F(i.e. 5-20 gallon container with spigot), <br /> �I One separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Marco Andrew,Rosario,Jessica,Marco jr <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 /> this event. <br /> p <br /> 14. Completed by: (�1G1Y Sato- owner <br /> Signature Title Date <br /> ,., 5-2D Gel, <br /> Health Permit Hand wash Water <br /> sterno w1ChaNing <br /> =spot Hand Towels <br /> Cutting Board Sanlizer bucket. <br /> bleach G water for <br /> P�panB S'.ova Meach stoking wiping cloths <br /> Booth must been <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Soap and Water Rinse Water &each and:rater Garbage <br /> Can <br /> Fire cktIngulshar <br /> �JnB <br /> Wetar <br /> l <br /> Ice Cooler ( 5G0l Hard wash <br /> l i,;' Exfre ke Begs 8 Focd Containers must be Wastewater Corlalnsr <br /> --^-- stared B fnches of of the ground! <br /> EHO le-02 Pape a of 11 `.EkP EVENT APP <br /> 1114M 4 <br />