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10. lam providing the following cold temparature control far the coW hokftig of palertisBy hazantas foods below <br />45^ (If food is used the following day, maintain below 41*F tempwafure): <br />DR <br />12. <br />“Important** <br />Completed by:U. <br />Health Remit <br />fttHrtuMTM* I <br />(aM-WRn* <br />oueweiwv <br />«w<* <br />iwwr** <br />HudtaeHMar <br />f. <br />Ice Cooter <br />» <br />TEWBI®HT«*PsgtaofM <br />L <br />i <br />Q Ice diesis <br />□ Refrigerated truck <br />□ Other (specify) <br />□ ftafriaerator <br />O k» bath and tubs <br />EHDfMZ <br />OMM/W <br />SBitaue <br />Cm <br />aMch*MMr*r <br />HMM'lWnaMW <br />............ <br />Booth mW be on <br />C«n«rtB,Aw*aH. <br />Plywood, oraTmp. <br />•■Wi •'■ •■; £ - <br />DM <br />An food vendor boothe are tubjoct to inspsctai. Pteass make a copy d this appBcatfon in <br />preparatton for Ws dvont A copy of tNs checklist must be In tf» booth at aS hours of <br />prepwataisndojwatfon, Rrwi aritfftal to fosfival coonfaator thmo wetks.grfor.to <br />thtaevant <br />11. lam providing the following Items wtWn my booth for the ssnftary cteaning of food proparatfon utensils: <br />□ Threo compartment sink. <br />□ Three deep tube (basins 6-8 inches minimum}, one for soapy water, one for rinsing and one for a bleach <br />solution (one tablespoon of bleach par galfon of water). <br />□ Detergent, bleach, and wiping cloths (cteanlhfl towels). <br />□ TUb to store wiping doths in bleach sokitton. <br />I em providing the following for adequate hand washing fadKes, but separate from utensa wash wWito my <br />booth: <br />C Water supply efispeoeer with warm water at e minimum of 100*F (Le. 6*30 galon container with spigot). <br />□ One separate tub (bucket or basin) for the coltecUOn of rtnsWWestewater. <br />□ Paper towels end Dumfratvte sMo container. <br />13. Names of responsible persons to be present In booth dvrir^ all hours of operation: <br />■ SMHSM.W* <br />' WHUMrCMWMr <br />IHto <br />w»a*V ^ ****** <br />■ »»«wrww| \ <br />BWM0W*r | <br />|pr»a*wM» I <br />ftwwBprs/wxr.o***!?’****