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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 /> L�w ter supply dispenser with warm water at a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> ZPCseparate tub(bucket or basin)for the collection of rinse/wastewater. <br /> r 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 bpecs are su . ct to inspection. Please make a copy of this application in <br /> preparatio fo i cop of this checklist must be in the booth at all hours of <br /> preparatio operatio Ret orifinal to festival coordinator three weeks prior to <br /> this-eve- <br /> 14. <br /> hiseve14. Completed by: Lf t I5 <br /> re Title Date <br /> Me . <br /> 5-20 Gal- <br /> Health Permit Hand wash Water <br /> Stemo w/Chaffing <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board Sanifizer bucket- <br /> bleach&water for <br /> Propane Stove Bleach stop ng wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> ❑ Plywood,or a Tarp. <br /> Propane <br /> Rinse Water bleach and Water Garbage <br /> Can <br /> Fire Extlnqulsher <br /> Extra <br /> Water <br /> Ice Cooler 5 Gal Hand rash <br /> I Extra Ice Bags&Fd Containers must be 3_ Wastewater Container <br /> oo <br /> -- - - - - ' stored 6 inches off of the ground! �'+ <br />