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10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45"(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 /> ffr-W�`ater supply dispenser with warm water at a minimum of 100°F(Le. 5-20 gallon container with spigot)_ <br /> Ej`One separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> [� per towels and pump-style soap container. <br /> 13. Names of responsible persons to be prese t 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: C) <br /> igna re Title D to <br /> 5-20 Gal. <br /> ealth Permit Hand wash Water <br /> Sterno w.`Chaffing <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board Sanitizerbucket- <br /> b!each&water for <br /> Props a Stove <br /> Bleach stonngwiping cloths <br /> Booth must be on <br /> O Concrete,Asphalt, <br /> Plywood or a Tarp. <br /> Propane Tan <br /> Soap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fire Extinguisher <br /> 6dra <br /> Water <br /> Ice Cooler 5 Gal Hand wash, <br /> Extra Ice Bags&Food Containers must be Wastewater Container <br /> stored 6 inches off of the ground! <br /> EHD 16 02 Page B o1 11 TEMP EVENT APP <br /> 08%01/1 <br />