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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°F 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 utensils: <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 /> ❑ 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 /> ® Water supply dispenser with warm water at a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> El One separate tub(bucket or basin) for the collection of rinse/wastewater. <br /> Fx� Paper towels and pump-style soap container. <br /> 13, Names of responsible persons to be present in booth during all hours of operation: <br /> George Dale <br /> "Important" Alf 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 /> D gitally signed by George Dale <br /> DN:cn-George Bale,o,ou,14. Completed by: Georg ma <br /> e Dale eil=hon OLJL2�T <br /> eydalebeesggmailxu 4/3/2019 <br /> SignaWk@ia.03.os11-31:aa-06'00' Title Date <br /> 5-20 Gal. <br /> Health Permit <br /> 5[emo wlChaffing Hand wash Water <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board Sanitize rbucket- <br /> bleach&water for <br /> Propane SEove Bleach storing wiping doths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> ProAaneTank - <br /> .,A* <br /> Soap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> - - Fire Extinguisher <br /> Extra <br /> Water <br /> Ice Cooler s Gal Hand wash <br /> Extra Ice Bags d Food Containers must be Wastewater Container <br /> stored 6lnches off of the ground! <br /> EFip 16-02 Page 8 of 11 TEMP EVENT APP <br /> 0810 1 <br /> f 16 <br />