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10. 1 am providing the following colo —mperature control for the cold holding of p,..:ntially 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 /> L2/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 /> PMater 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 /> Lauk r0-k <,anrci-Ct , CT-rail1 CXr-n47 <br /> *"Important" All food vendor booths are subject to inspection. Please matte 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 /> t `s a t. <br /> Q' <br /> 14. Completed by. <br /> Signature 1 I le Date <br /> 5-20 Gal. <br /> Health Per Hand wash Water <br /> Sterno wlChaffing <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutin Board Sanitizer bucket- <br /> bleach&water for <br /> Propane Stove Bleach storing wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Pi onano Tank <br /> Seep and Watar Rinse Water j"Z7sh <br /> Garbage <br /> Can <br /> Fire Extinguisher <br /> Extra <br /> Water <br /> Ice Cooler 5GaIHen <br /> Extra lee Begs&Food Corrfai,ers must be Wastewater <br /> ----- Stared 6 vches off of ft grot,ndl <br /> EHO 16-02 Page 8 of 11 TEMP EVENT APP <br /> 06101/16 <br />