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10. <br />11.I am providing the following items within my booth for warewashing: <br />Three compartment sink. <br />OR <br />12.I am providing the following items within my booth forth© sanitary cleaning of food preparation utensils: <br />Detergent, bleach, wiping cloths (cleaning towels), and a tub to store wiping cloths in bleach solution. <br />13.I am providing the following for adequate hand washing facilities, but separate from utensil wash within my booth: <br />14. <br />15.Completed by: <br />Health Permit | <br />Paper Hawi Toweis <br />Propsna <br />Prop-ino ran'< <br />S«ap ar.4 Vls’.cr tunaui raid Water <br />1Fira Clttiaeishar <br />Ice Cooler <br />Page 8 ol 11 TENP EVENT APP <br />Sigriafure <br /> I <br />Title <br />EMO 16-02 <br />7/14/15 <br />1H Ice Ghosts <br />O Refrigerated truck <br />E/TOther (specify)___ <br />E>!ro <br />Wolct <br />5 GJ Hand vAsih <br />Waslt/.’ater Ccnuiner <br />Garbage <br />Can <br />Oootli must be on <br />Concrete. Asphalt, <br />Plywood, at n Tarp. <br />Erira lei K f-csxi Canliliais musl bv <br />ffnrvil C> IncHoa oil /V Ihv gretaul’ <br />Stemn vXCharSng <br />Dhl> <br />5-20 GM. <br />Hand rrtiMi v.*at«r <br />SanIVzar bucket- <br />b'eacii & water lor <br />Uorirv) v/png c’dlu <br />ft] ( T~7 <br />I R.rwa Water <br />I Cvtmg yonra | <br />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 ancflopsmlion/ Return original to festival coordinator three weeks Drier to <br />this event, / <br />Names of responsible persons to be present in booth during all hours of operation-______ ________i <br />___L.L^Y\_U)^|(.^iAbn_____________________ <br />Important** <br />I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />45°F (if food is used the follov/ing day, maintain below 41°F temperature): <br />STtefrigerator <br />□ Ice bath and tubs <br />Pi? <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 />tHvVater supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). A <br />separate lub (bucket or basin) for the collection of rinse/wastewater. Paper towels and a pumo-stvle soao <br />container. ——1