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.10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45OF of food is used the following day,maintain below 41'F temperature): <br /> ce chests Refrigerator <br /> L Refrigerated truck ❑ice bath and tubs <br /> {I Other(specify) <br /> 11. 1 am providing the following items within my booth for warewashing: <br /> 0 Three compartment sink. <br /> 4R <br /> [. Three deep tubs (basins" 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 /> 1Z 1 am providing the following items within my booth for the 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. 1 air+providing the following for adequate hand washing facilities,but separatefrom utensil wash within my booth: <br /> ( 'Water supply dispenser with warm water at a minimum of 100"F (i.e. 5-20 gallon container with spigot). A <br /> separate tub (bucket or basin) for the collection of rinselwastewater. Paper towels and a putt�r�-style sflan <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 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 cmrdinatar three weeks Rrior to <br /> this event. <br /> 15. Completed by: <br /> Signature Title Date <br /> 5-20 Gal. <br /> Health Permit ," vuater <br /> Paw Rand Toae!s <br /> C 1t!ng Boar3 Sar zerbw&cet- <br /> bleach S watar for <br /> star. wimv dams <br /> Pro�faata Siove 3!ead+ <br /> Booth must be on <br /> Concrete,Asphalt, <br /> ....: K. >.. P4mood,or a Tarp. <br /> °t�Rane jerk - <br /> snap and Watar F in"wares Beech and,i OW Garbage <br /> 1 an <br /> f— C.` . Cooler - ,. b Ga!Hand w�3h <br /> eam Ice 98gs a FWd ref Container <br /> vo,ad 6 bol"or7of me gmur+d' <br /> can icnn Pane a ref 11 TEMP EVENT APP <br />