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to. <br />.J/-' <br />£ <br />OR <br />S« drtpenser <br />Cutting Board <br />BlMCh LPrW*BtoY« <br />PtopaneTank <br />Soap and Water Rinse Water Bteach and Waler <br />Fire ExtinfluWw <br />lee Cooter <br />TEMP EVENT AFPPage 8 of 11EHD 16-02 <br />08/01/16 <br />5-20 G«*l <br />Hand wash Water <br />Exira <br />Water <br />& dal Hand ^Mteh <br />Wastewater Container <br />5. '-V; <br />£rtra loa Bags A Food ContHners must be I <br />efored 5 mches off qf the gnunt# |B <br />Garbage <br />Can <br />7 --J- k <br />.... •.<■■.■ ■ <br />■ Ptpw H«xtTo«el» ." <br />^r-A- - <br />- : . 11. <br />Sanitizer buckat- <br />bteachA water for <br />stering wiping <br />Booth must be on <br />Concrete, AspMt, <br />----------------------------ji-.i’. <br />3/27/2021 <br />Date <br />■K Plywood, or a tarp. <br />.... ..s <br />I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />0f food is used the following day, maintain below 41T temperature): <br /> loechests Refrigerator <br /> Refrigerated truck Ice bath and tuts <br /> Other (specify) _______ _____________________________ <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br />O Three compartment sink. <br />Cj Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a btea^t <br />solution (one tablespoon of bleach per gallon of water). <br />CSuetergent, bleach, and wiping cloths (cleaning towels). <br /> Tub to store wiping cloths in bleach solution. <br />Hir^providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />- j Health Permit P <br />L.;< ' <br />'■ '■.\£ <br />All food vendor bootos 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 cpordlntrtor tfitee weeks prfor to <br />- S&fSlJDfitllts <br />>.>7:14. Completed by: -■ <br />.■ : Signature <br />V , .... <br />5tenx> te€halfing <br />[3 Water supply dispenser with warm water at a minimum of 100°F (i.e, 5-20 gallon container with spigpt). <br />[30ne separate tub (bucket or basin) for the collection of rinse/wastewater. <br />Q^Paper towels and pump-style $oap container. <br />13. Names of responsible persons to be present in booth during ail hours of operation: <br />—(LaA _ <br />^Important*'