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10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 457 (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 /> OR ❑ Three compartment sink. NIA <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-stylea2 container. NIA <br /> 11 Names of responsible persons to be present in booth during all hours of operation: <br /> Jianna Almanza <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 operati Return original to festival coordinator three weeks prior to <br /> this ev <br /> 14. Completed by: ���►�� 12-71 <br /> Signature Title D to <br /> s•zo Gal. <br /> Health Permit Handwash Water <br /> Slerno wlChatfing <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cultinq Board sanitizor bucket- <br /> hloach 8 waterfor <br /> Propane Stove Bleach <br /> Loring wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> = Plywood,or a Tarp. <br /> .,� <br /> Propane Tank <br /> Soap and Water Rinse Water Bleach and Water <br /> Garbage <br /> Can <br /> Fire Exlinqufshor <br /> Extra <br /> Walcr <br /> Ice Cooler 5 Gal Hand wash <br /> Extra Ice Sags&Food Conlainers must be Wastewater Container <br /> slomd 6 inches ofrof the ground) <br /> EHD 16-02 Page B of 11 TEMP EVENT APP <br /> 0BID 1116 <br />