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110. 1 am providing tiro folfav ing cold temperature cou" for the cold holding of potentially hazardous foods below <br /> 45'F(if food is used the following day.maintain below 41-F temperaturey <br /> ® ice chests ❑ Refngerator <br /> ❑ Refrigerated truck ❑ 100 bath and tubs <br /> ❑ Other(specify) <br /> S 1. I am prowdutg the fotfowing Berns within my booth for the sanitary,cleaning of food preparation utenas- <br /> ❑Ttuee compartment sink. <br /> OR <br /> ® Threa deep tubs (basins 6-a 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 dolls(cleaning towels) <br /> ❑Tub to atom wiping cloths in bleach solution. <br /> 12. 1 am providing tho following for adequate hang washing facilities, but separate from utensil wash within my <br /> boothr <br /> ®Water Supply dispenser with warm water at a minmum of 100'F (Le.5-2p gallon container+Hill aplgot) <br /> One separato tub (bucket or basin)for the collection of rinsviWastawater <br /> Paper towels and pgrnp-stoo:soap c,ontainor. <br /> 13. Names of responsrbto persons to be present in booth during all hours of operation: <br /> Adru ma Martiner or David Edwards <br /> "Important— All food vendor booths arm Subject to inspection, Pbeaso make a copy of this applicatlon In <br /> preparation for this event A copy of this checkltst must be in the booth at all hours of <br /> preparabon and operation, )Return oriulnol_to festival coordinator three weak: prior to <br /> this event. <br /> 14. Completed by: Z 5/14/25 <br /> 5i nature Tltia Data <br /> 6—M rar <br /> Hoalih Permit Hr+2 w..A I'rr <br /> 6rri�a.Q.!►7i <br /> s'rc=Mind ZLMS�1 <br /> S-ao rtti-awwr� <br /> Cairo @a 11 <br /> Sr+ku.r tart w <br /> tL.w•!�wrar l:r <br /> rYU:Y'w ra.w �wKh t-n•p.pr{j dire <br /> 1500M mSt be on <br /> Comrrgs ANDhak <br /> w - Ply* .or a Tarp. <br /> S-v Pr'Ilago RrwwYlrn EI._.reNr+n G�fkia9 <br /> Can <br /> EaN• <br /> Iy f. <br /> / I <br /> r j <br /> ice Cooler <br /> FiW kw bp F:ud Ca Cu.•..ors!Oe N'.ak..urM Ca.rUrwr <br /> ataRf r <br /> EHD se-32 <br /> aSi31r1a Pip a or t i TEMP EVENT Aim <br />