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10. I am providing the fallawing cold temperature oontrol for the cold holding of polentiaily hazardous foods below <br /> 45'F(if food is used the following day,maintain bellow 41'F temperak ra): <br /> ❑ Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(spedfy)WA Prepackaged Goods <br /> 11. I am providing the follovnng Items within my booth for the sanitary cleaning of food preparation utonsb: <br /> ❑Three compartment sink_ <br /> OR ® Three deep tubs (basins 6-6 inches minimum), one for soapy water, one far rinsing and one for a bleach <br /> solution(one tablespoon of bleach per gallon of water). <br /> ® ❑etrxgent, bleach. and wiping cloths(cleaning towels). <br /> ❑ Tub to store wiping cloths in bleach solution. <br /> 12, 1 am providing the following fur adequate hand vrashing face U&S., tart separate from utensil wash within my <br /> booth: <br /> ®Water supply dispenser with warm water at a minimum of 100'F (Le.5.20 Woon contalnff with spigot). <br /> (�One separate tub(bucket or basin)for the colledlon of rinseAvastewater. <br /> ®Paper tvwels and oympz5Wn soap container. <br /> 11 Names of responsible persons to be present in booth during all hours of operation: <br /> Zeya 5kultan <br /> "Ilrnportant" lilt food vendor booths are sutled to inspection. Please make a copy of this application in <br /> preparation for this event. A copy of this chockbst mist be in the booth at all hours of <br /> ptoparadon and operation, Retum original festival inator thrly&Mks <br /> thla d <br /> 5/14/25 <br /> 14. Completed by: WV <br /> ir Slgriature Title JDate <br /> !Ir W M M M Rr• <br /> Health Permit <br /> P+h P`pr Hang TZ-7 <br /> Ja�wea <br /> G.t3a�B;wa': Eirllrw b.duwfi- <br /> 6kL"A oalrf ID <br /> wry dI/•Q d�1w <br /> hww6nw •r.�.t v- <br /> 6oa'.h m+n1 be on <br /> CorC era.A PhalL <br /> Plywood,or a Tarp <br /> Snap aM'A'afr. w•e.'A'air ar.ah aid WiL•Y Garbage <br /> Can <br /> hYY <br /> {{ <br /> --i�--- -- II II JI,II uNarai w�ur lw �]Wd H1 <br /> ."Gj rrLrM <br /> Ylwlimn-�—oo�iet puLecq .r� <br /> EHa 1"2 pro a of 11 TFLP E1IFNT APP <br /> fiainim <br />