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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 OF 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 /> One separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> El Paper towels and pump-style soap container. <br /> 13 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 /> 14. Completed by: <br /> Signature Title Date <br /> 5-2G Gal <br /> Health Permit Hand wash,',/Vater <br /> Sterno wlChaffing <br /> 0,Sh <br /> Paper Hand Towels <br /> Soap ds,^enser <br /> Cattmp Board sanaaer bucket- <br /> bleach&water for <br /> Fr�pane Stcve <br /> B;eac^ storing wp—Uoths <br /> Booth must be on <br /> D Concrete.Asphalt. <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> ------------- <br /> Soap ano'f.aler Rinse Water Bleacn and Werer <br /> Garbage <br /> Can <br /> Fire Exincuis^.er <br /> F xva <br /> vtlate! <br /> Ice Cooler SGalHand wash <br /> Extra Ice Bags 6 Food Contevners must De '•'�as!ewater Co^tamer <br /> stored 6 incnes off of the ground) <br />