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1O. I am providing the following =,mid temperature control for the cold holding iotentially hazardous foods bell. <br /> 45'F(if food is used the following day, maintain below 41 OF temperature): <br /> Ice chests Refrigerator <br /> ® Refrigerated truck f] Ice bath and tubs <br /> Other(specify) <br /> 11. 1 am providing the following items within my booth for warewashing: <br /> El Three compartment sink. <br /> OR <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 /> 12. I am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> 1Detergent, bleach,wiping cloths (cleaning towels), and a tub to store wiping cloths in bleach solution. <br /> 13. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my booth: <br /> 'Water supply dispenser with warm water at a minimum of 1 OOaF (i.e. 5-20 gallon container with spigot). A <br /> separate tub (bucket or basin) for the collection of rinse/wastewater. Paper towels and a pump-style soap <br /> container. <br /> 14. 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 ;Hake 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 on Inal to festival coordinator three weeks prior to <br /> this event. <br /> 15. Completed by: <br /> Sigrnatur >; Title tate <br /> 5-Z^Gal. <br /> Hand wash Water <br /> Pealth Permit Ste�w1char>3ng <br /> Dish Pa er Hard Towels <br /> Soap disoenser <br /> Sanitize*bu�cef- <br /> Cuttino Board bleach 8 w2?er for <br /> storing wiping cloths <br /> Bleach <br /> Propane Stove <br /> Booth must be on <br /> Concrete,Asphalt, ; <br /> Plywood,or a Tarp. <br /> T77Propene Tank _ ,. .. <br /> Soap and Water rinse Water Bleach and Wa garbage <br /> Can <br /> Fire Extinguisher <br /> Extra <br /> Water <br /> f1ceCo 5 Go!Hand wash <br /> Extra fce Bags a Food Contain s must be wastewater Container <br /> stored 6 Owns$off oft ground! <br />