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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 /> F1 Ice chests 0 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 /> X❑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 /> x❑ One separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> x❑ Paper towels and pump-style soap container, <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Karen Tabar and Andrew Tabar <br /> "Important"* All food vend booths are subject to inspection. Please make a copy of this application in <br /> preparaElan o, th' event. A copy of this checklist must be in the booth at all hours of <br /> preparation an ration. Return_original to festival coordinator three weeks prior to <br /> this a ent <br /> 14. Completed by: Qi w-C Y -2 Z <br /> Signature Title ate r <br /> S2S] Gat. <br /> Health Permit P <br /> sten Hand wash Water <br /> w wlChatfing <br /> Oish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board Sanibzee 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 /> Propane Tank <br /> Soap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fire Extingwshar <br /> Extra <br /> Wator <br /> Ice Cooler Seal Handwash <br /> Extra Ice Bags&Food Containers musl be Wastewater Container <br /> stored 6 inChas off of lhv ground! <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 08/01116 <br />