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10. 1 am providing the following cold temperature control for the cold holding of potnnilally hazardous foods below <br /> 45'F(If food is used the following day.maintain below 41'F lemporaiure)- <br /> ® Ice chests ❑ Refrigorator <br /> ❑ Refrigerated truck ❑ Ice bath and lutrs <br /> ❑Other(spedry) _. <br /> 11, 1 am providing the following items within my booth for the sanitary cleaning of food prepara'ion utcnsfs: <br /> ❑Throe compartment sink- <br /> OR <br /> ® Three deep tubs (basins " 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 prodding the follovAN for adequate hand washing faczI1Ue5, Caul separate from utensul wash within r:sy <br /> booth- <br /> ®Water supply dispenser with warm water at a minimum of ID0'F(l e, 5-20 gallon container whit spigot), <br /> ® One separate tub(bucket of basin)for the calloction of rinseMastowaler. <br /> ®Paper towels and purnp-styie spa container. <br /> 13. Names of responsible persons to ba present in booth during ell hours of operation_ <br /> Lu ChV <br /> "1mponanC' Ail food vendor booths are subject to insperboo. fleas© make a copy of this applIcaban In <br /> preparation for this event_ A copy of this cheddist must bo in the boot at all hours of <br /> preparation and operation. Retum original to foslival wordlnatQrhrPe weeka poor to <br /> this eycnt. <br /> 5/14/25 <br /> 14. Completed by. . <br /> nature Title Data <br /> sr�orf <br /> cow.rr Health Permit wN. <br /> Mw-d —.w <br /> burp dlnmfn <br /> G�en3 Dowd LwF,,,' <br /> wa wear tr <br /> a' <br /> VW'z <br /> Rnyur ictie pwsf <br /> SwL't must ba on <br /> CO UVID,Aspha►T; <br /> P►y� .or s Tarp <br /> L�[•Fe1{�r Rnf�l'.+tr 9gCfi�lYtr .��� <br /> G711 <br /> r rItm <br /> 1�nr <br /> - <br /> Ice Cooler ecw+sMaa..r, <br /> F{17 Me&I;n A rmd C-U.Ivf NkAt Al W � <br /> Est ia�2 Page 5 or11 TFUP FVFNT APP <br />