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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 /> X Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck IX 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 /> X 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 /> X1 Detergent, bleach, and wiping cloths (cleaning towels). <br /> [X 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 /> ❑ 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 to be present in booth during all hours of operation: <br /> SUSANA JIMENEZ <br /> "Important" A!I 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 operate n. Return original to festival coordinator three weeks prior to <br /> this event. <br /> 14. Completed by: <br /> OWNER 4/08/2019 <br /> Sig h re Title Date <br /> 5-20 Gal <br /> Health Permit Hand wash Water <br /> $temo w0iaffing <br /> Dish <br /> Paper Hand Towels <br /> Soap dispensar <br /> Cutting Board Sanitize'bucket- <br /> bleaeh&water for <br /> Propane Stave <br /> Bleach storing wiping doths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Saap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fire Extinguisher <br /> Extra <br /> Water <br /> Ice Cooler 5 Gal Hand wash <br /> Extra ice Sags&Food Containers mus!be Wastewafer Container <br /> stored 6 ruches off of the ground± <br /> EHD 113-02 Page 8 of 11 TEMP EVENT APP <br /> 08/0 11 16 <br />