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10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45oF (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 /> 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 /> Nrcole d Jaime Raygaze <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: NicaleMoore mygoza awr,er s,xerzo,8 <br /> Signature Title Date <br /> 5-20 Gal_ <br /> Health PermitHand wash Water <br /> Sterno wlChaRng <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board Sanitizerbucket- <br /> hleach&water for <br /> Propane Stove Bleach storing wiping doths <br /> Booth must be on <br /> Concrete.Asphalt. <br /> _._rL <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> APi Slop and Water Rinse Water Bleach and Water <br /> Garbage <br /> ' Can <br /> `F— Fire Extinguisher <br /> Ice Cooler 5Gal Hand wash <br /> Extra Ice Bags&Food Containers most be Wastewater Container <br /> stored 6 inches off of the gmundl <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 08/01116 <br />