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10. <br />11. <br />□ "Three compartment sink <br />OR <br />□ Detergent bleach, and wiping do»hs (cleaning towels). <br />□ Tub to stone wiping cloths in bleach solution. <br />12. <br />Q 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 />□ Pape* toweis and pump-style soap container. <br />13. <br />**i <br />Completed by 14 <br />Sifl! <br />Heaidi Peimrt <br />f>ape<.H3ftdT«weU <br />CubmioBww <br />l»OK»> <br />and <br />Poon e ot 11 <br />TEMP EVENT <br />EHD 1BC2 <br />08/OVIS <br />I am providing the following cold temperature control for the cold holding of potenfally hazardous foods below <br />45’F (if food is used the following day, maintain below 4VF temperature): <br />□ Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br />solution (one tab espoon of bleach per gallon of water). <br />□ Refrigerator <br />□ Ice bath and tubs <br />5-20 Oirf <br />lland wash VVtaK< <br />Garbage <br />Can <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensils <br />PA <br />I am providing the following for adequate hand washing facilities, but separate from utens'l wash within my <br />booth <br />Conu«w <br />Sjtw.’w Buatet. <br />wipes <br />iture Title' <br />-j- <br />u-ip «w> W»l« <br />Ice Cooler i <br />[/ <br />All food vendor booths are subject to inspection Please make a copy of th[s 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 rrnnrdinatnr three weeks ^griorto <br />this ftvftfit. ‘ S ~ <br />O toe chests <br />□ Refrigerated tmek <br />Other (specify) <br />| Soap <br />Rteitoe Wutat <br />Namesjtf resw>nsto^ersons to be present in booth during all hours of operation; <br />Important" <br />Q3 fork; <br />Date <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Taip. <br />-----------------------/ <br />«»■><» awaxMoA or <br />t«Ua <br />Waloi <br />Ohtfr