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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 /> F1 Ice chests U Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. I am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> ❑ Three compartment sink. <br /> OR <br /> O/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 /> 2/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(Le_ 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 /> r ttl<.� <br /> "Important" All food vendor booths are subject to inspection. Please make a copy of this application in <br /> prepara .on far this event. A copy of this checklist must be in the booth at all hours of <br /> prepar ti n and operation. Return original to festival coordinator three weeks prior to <br /> this a t. <br /> 14. Completed by: �✓ Gu�J� Ul � I� <br /> � <br /> i nature Ti le Date Signature <br /> - 5-20 Gal, <br /> Health Permit Itandwash v��ater <br /> Stems wrCha(hng <br /> osh <br /> Qaper Nand 7oweVs <br /> ��ap dispenser <br /> Cutting BUard Sanitl29r hurkrt- <br /> bleach&water for <br /> storing wr piny Baths <br /> F�9 <br /> Blca� <br /> Booth must be on <br /> O Concrete.asphalt. <br /> Plywood.or a Tarp. <br /> Prpp9tta Tenk <br /> Soap and Wafer RVnse water bleach and Water Garbage <br /> can <br /> Fre E.Wpumher <br /> F.xlra <br /> Water <br /> t l <br /> fle Gooler `� 5 Gal Hand wash <br /> Erlra rr a Elags&Food Containers musl be W astewa[er Cunlainer <br /> shred 6 inches olr of the ground! <br /> EHO 18-02 Page&of 11 TEMP EVENT APP <br /> UWO1116 <br />