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M I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />46*F (if food is used the following day, maintain below 41'F temperature): <br />E9 /Ice chests <br />❑ Refrigerated truck <br />❑ Other (specify)_ <br />refrigerator <br />❑ Ice bath and tubs <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 />0 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 />0/r/ub to store wiping cloths in bleach solution. <br />12. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />011 later 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 />[aper towels and pump -style soap container. <br />13. Names of responsible 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 />this event. <br />14. Completed by: <br />Culling Board <br />Propane Slovo <br />A I -- <br />Propane Tank <br />Ice Cooler <br />Signature <br />sterno vdchafFlng <br />Dish <br />Soap and Water <br />Fire Extinguisher <br />Cxtra Ice Begs & PoodContainera must be <br />Stored 6 inches offot t/iC potrnJ! <br />Soap dispenser <br />Bleach <br />Rinse Water <br />Extra <br />Water <br />Title Date <br />5.20 Gal. <br />Band wash Water <br />Paper Hand Towels <br />Samb2er buCkel- <br />bteach & waler for <br />sloring wiping d 0111 <br />---------------- <br />uieaea and walor Garbage <br />Can <br />U Gal banF�� <br />wastewater <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />12HD 16-02 Page 8 of 11 TEMP EVENT APP <br />08/011is <br />