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if3 I am providing the following L <emperature control for the cold holding of pc rally hazardous foods below <br /> 457(if food is used the following day, maintain below 41°F temperature): <br /> ❑ Ice chests ❑Refrigerator <br /> (�Refrigerated truck ❑ Ice bath and tubs <br /> l Other(specify) <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <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 /> solution(one tablespoon of bleach per gallon of water). <br /> ❑ Detergent, bleach, and wiping cloths(cleaning towels). <br /> !L_1 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 /> ❑water supply dispenser with 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 /> Nt Paper towels and Dump-style soap container. <br /> 13. Names of spotts�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 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 /> I <br /> his eve J <br /> 14. Completed by: p.V G 0 <br /> Signature Title Date <br /> 5-20 Gal <br /> !` — Hand wash W te- <br /> Heath P�rmi: , <br /> '•` "--o;.e:I-.a,-,d Towels <br /> �Oc:"..Spe'156f <br /> ng Board , Sanll,zer bucket- <br /> \ bteach&water for <br /> P•gane 5a;a Bleach storing wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> _ TI Plywood,or a Tarp. <br /> iI Scap anJ Water Rinse 1�atar a'.e2oh and l'Yater Garbage <br /> Can <br /> i -Ire:a�nguisnor <br /> waver <br /> L_I <br /> Ice Cooler - __ __ _ SGal and wash <br /> '�,:' e'zHe fce Bags 8 Ford Conra,ners Host be :^Jastowatar Ccctaincr <br /> -- stared E fncnes oCo:the grour:dr <br /> END to-02 Pape 8 of 11 TEMP EVENT APP <br /> 11141 14 <br />