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10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45aF(if food is used the following day, maintain below 41°F temperature): <br /> ❑ ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath a d tubs <br /> ❑ Other(specify) W C <br /> I 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 /> tooth: <br /> ❑Water supply dispenser with warm water at a minimum of 100aF(i.e. 5-20 gallon container with spigot). <br /> ❑ One separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> ❑ Paper towels and pump-style soap container. <br /> 13. Names of responsible persons be RrBsent in of i during all hours of operation: <br /> ""Important" All food vendor booths are subject to insp . 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 /> prep rati d o eration. Retum orlalnal to festival coordinator three weeks prior to <br /> t eve <br /> 14. Completed -4 /vI <br /> gn re Title Date <br /> S2r1 Ga! <br /> Health unit Herd wean Waler <br /> Stemo wicnerrnp <br /> nl.h <br /> Paper Hand ipwe}s <br /> Sopp duvenaer <br /> Cuttl nG BCand <br /> Senrixer bucket <br /> biearh&wets,for <br /> Pfupane Slave Blanc+ awn wpn+9 Botha <br /> Booth must ba on <br /> Concrete,Psphakt, <br /> Plywood,or a Tarp. <br /> Soap and Water Rlma Water Bloch and Walgr Garbage <br /> Fire Exdrguishar <br /> Can <br /> Ewa <br /> W elar <br /> Ice Cooler S Gal Hand wash <br /> Every Ice Bags d rood contslnen mmf be WaalawMar Cortalnar <br /> stored fi lnchetaft o/the praundt <br /> EH0IM2 Pege 8 of 11 TEMP EVENT APP <br /> C810VIO <br />