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0. 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°F temperature): <br /> �ce chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑Other(specify) <br /> 11. 1 am providing the following items within my booth for warewashing: <br /> ❑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. 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 am viding 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 100°F (i.e. 5-20 gallon container with spigot). A <br /> eparate 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 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 /> 15. Completed by: s <br /> Signature - Title Date <br /> 5-20- l. <br /> EHand wash aWater <br /> Health Permit .1 <br /> Stemo w/Chaffing <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board Sanitizer bucket- <br /> bleach&water for <br /> Propane Slove Bleach stonng wiping cloths <br /> 1 Booth must be on <br /> O Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Soap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fire Extinguisher <br /> Extra <br /> Waler <br /> Ice Cooler I 5Gal Hand wash <br /> I 71.1.111 <br /> e Bags&Food Containers must be 'l Wastewater Container <br /> inches oNo/the ground! 1 <br /> EHD 16-02 Page B of 11 TEMP EVENT APP <br /> 7114/15 <br />