Laserfiche WebLink
10. <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensils:11. <br />® Three compartment sink. <br />OR <br />0 Detergent, bleach, and wiping cloths (cleaning towels). <br />Test strips to measure sanitation levels for bleach solution measuring 100ppm. <br />[Zf Tub to store wiping cloths in bleach solution measuring 10Oppm. <br />12. <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 />13. <br />“Important** <br />Completed by: 14. <br />Signature <br />Paper Hand Towels <br />Bleach <br /> <br />Propane Stove <br />rr <br />Propane Tank <br />Fire ExtinguisherQ <br />Ice Cooler <br />TEMP EVENT APPPage 9 of 11EHD 16-02 <br />11/4/14 <br />13 Ice chests <br />□ Refrigerated truck <br />□ Other (specify) <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <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 following day, maintain below 41 °F temperature): <br />Stemo w/Chaffing <br />Dish <br />□ Refrigerator <br />t^Tice bath and tubs <br />Extra <br />Water <br />5 Gal Hand wash <br />Wastewater Container <br />Sanitizer bucket­ <br />bleach & water for <br />storing wiping cloths <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />5-20 Gal. <br />Hand wash Water <br />DateTitle <br />a 7 <br />Soap and Water <br />[U 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 />Rinse Water <br />. . <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 and operation. Return original to festival coordinator three weeks prior to <br />this event. <br />| Health Permit <br />Garbage <br />Can <br />Cutting Soard <br />Exira Ice Bags & Food Conlainers must be I <br />stored 6 inches off of the ground! <br /> I Soap dispenser <br />HTPaper towels and pump-style soap container. <br />Names of responsible persons to be present in booth during all hours of operation: <br />50^/A pg6,7