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10. 1 am providing the following cola 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 /> I Ice chests ❑ Refrigerator <br /> l' Refrigerated truck I 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 /> I _ 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 rinselwastewater. <br /> I_ Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Eli Mazahreh <br /> Janelle Charlie <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. Retum original to festival coordinator three weeks prior to <br /> this event. <br /> 14. Completed by: Owner 2/28/2018 <br /> Signature Title Date <br /> 5-20 Gal. <br /> Health Permit sHand wash Waler <br /> mrna�wfcn�rrng <br /> oisn <br /> paper Hund Towols <br /> Scrap dispenser <br /> Culling 8aan1 Sun,6zer t—kot- <br /> bleach 8.water for <br /> Propane SSovc Bleatb stonng wiping dolhs <br /> Booth must be on <br /> O Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propanr.Tank <br /> Soap and water Rintic Wamr Bleach and Water' b <br /> Gafbagf? <br /> Can <br /> Fire E.hngaishar <br /> Ei(tfa <br /> W ahx <br /> Ice Cooler 5 Gal Hand wash <br /> Ezlra Ice Bags 6 Food Containers must be Wastewater CorrL—r <br /> stored 6 inches off of the ground! <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 48/01/16 <br />