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SAN 10AQUI nv�rcnmsnt,,�,i HievlLh, Dope,r vL <br /> ,_.--COUNTY...._..._ <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45-F(if food is used the following day, maintain below 41 aF 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 utensil <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 /> Tub 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 /> M Water supply dispenser with warm water at a minimum of 100eF (i.e. 5-20 gallon container with spigot)_ <br /> ®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 b present in booth during all hours of operatio <br /> "Important" All food vendor booths are subject to inspection. Please make a copy of this application in <br /> preparation for t event copy of this checklist must be in the booth at all hours of <br /> preparation oper urn original to festival coordinator three weeks rior to <br /> this ev <br /> 14. Completed by: /_ %- I <br /> at Title Date <br /> 5-20 Gal. <br /> Health Permit Hand wash Water <br /> Stemo wlChaffng <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board Sanitizerbucket- <br /> bleach$water for <br /> Propane Stove Bleach storing wiping daths <br /> Booth must be on <br /> O Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Soap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fire Extinguisher <br /> Extra <br /> 77 <br /> Water <br /> COOfer '- 5 Gal Hand wash <br /> Extra Ice Bags 8 Food Containers must be Wastewater Container <br /> -- — stared 6 inches oflof Me ground! <br />