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14. l am providing the fokmin cold temperature control for the cold holding of potentially hazardous foods below <br /> 45'F(if food Is used the foUmving day,maintain below 41'F temperature): <br /> ® toe chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑Ice bath and tubs <br /> ❑Qthei(spadry) <br /> 11. I am providing the fallowing darns within my booth for the sanitary cleaning of food preparation utons - <br /> ❑Three compartment sink. <br /> OR <br /> Three deop tubs (basins 6-8 inches minimum), one for soapy water, one for rineing and one for a bleach <br /> solullon(one tablespoon of bleach per gallon d water). <br /> ®Detergent, bleach,and wiping cloths(cleaning toyml✓) <br /> ❑Tub to store roping cloths in bleach solution <br /> 12. t am providing the fallowing for adequate hand washing faci5ties, but separale from utensil wash within my <br /> booth: <br /> ®Water supply dispenser with warm water at a minimum of i40'F (,e. 5`20 gallon container with spigot). <br /> ®one separate tub(bucket or basin) for tho caolkc�on of rinsehvastewatex. <br /> ® Paper towels and pump-stylo soap container <br /> 13. Names of responsible persons to be present In booth during all hours of operation: <br /> Scot Adam <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 checidist must be In the booth at all hours of <br /> preparation and operation. Return ogininal to festival coordinator hroo MRISS OdOf IQ <br /> i'il5 @YAttt. <br /> 5/14/25 <br /> 14. Completed by: af+�l�*►r <br /> Signature Title Date <br /> I l.M o..&rides <br /> Health Permit <br /> P 41,ma wV.rTF'Q <br /> Gar Ft�n Fi.,d Toa�! <br /> :ny elr,✓'aa <br /> C++tl*fJ Bcae': SrtLr ft <br /> fs ePort, &��r is <br /> F 1�,�+A EiIIIN Qioach <br /> Booth m uat be on <br /> Canrnr[e.Asphalt. <br /> Plyn+vod,or a Tarp- <br /> 51'ap 1n]/lrir I�fwa'h'alar EI!r:-an3'Ilals G11boge <br /> Can <br /> Etta i <br /> w K,r <br /> f Ice Cooler <br /> E-VI hr!!aT t react c:,w+wn in.N�e N'a,r�a�[a,r,rer <br /> c.�4 E ran or.r <br /> EF,O <br /> Page a d 11 TV:FIM rVrNT APP <br /> 14�C2 � <br />