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10. 1 am providing the following cold 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 /> ❑ 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 /> Guiwen Zhao <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 eves t, <br /> 14. Completed by: � <br /> C� � <br /> Signature Title 6ate <br /> 5-20 Gal. <br /> Health Permit Hand wash Water <br /> 0 Stemo wlChefflng <br /> Dish <br /> Paper Hand Towels <br /> Snap dispenser <br /> CulUng Baartl Sani"er bucket- <br /> bleach&water for <br /> Propane Siove Bleach slonng yap ng cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Scrap and Water Rmso Watar Bleach and Water Garbage <br /> Can <br /> Fire Extingwshor <br /> Extra <br /> Water <br /> i <br /> Ice Cooler 5 Gal Hand wash <br /> Extra Ice Sags&Food Containers musl be Wastewater container <br /> stored 5 inches off of the ground! <br /> EH❑18-02 Page 8 of 11 TEMP EVENT APP <br /> 08101/113 <br />