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10, I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45'F(if food is used the followtng day,malntain below 41'F temperature): <br /> �} Ica chests ❑ Re(ngerator <br /> ❑ Refrigerated mxk ❑ lCe bath and tubs <br /> ❑ Othar(specify) <br /> 11. I am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> ❑Three compartment sink. <br /> OR <br /> ® Three deep tubs (basins B-8 incites minimum), one for soapy water, ono for rinsing and orie for a bleach <br /> solution (one tablespoon of bleach per gallant of water). <br /> ® Detergent,bleach, and wiping cloths(leaning towels). <br /> ❑Tub to store wiping cioths in bleach solutlon. <br /> 12, l am providing the following for adequate hand washing fadlities, but separato from utensil wash within my <br /> booth: <br /> ® Wator supply dispenser with warm wales at a minunum of 100'F(I_e_ 5-20 gallon container with spigot). <br /> ® One separate tub(bucket or basin)for tho collecilon of rinseMastewat©r. <br /> ® Paper towots and pump•siyie soap container. <br /> 13. Names of responsible persons to be present in booth during ati hours of operation: <br /> DJ Robartsoa <br /> —Important" All food vendor booths are sub]act to inspecbont. Please make a copy of this application in <br /> preparation for this vent. A copy of this checki5t must be in the booth at all hours of <br /> propar bon and Return orlainal to fwsttyal coordinator three S p&r t <br /> this QucM. <br /> 14. Completed by: <br /> Igrlbture TltJo late <br /> sx. r.a <br /> Hearth Permit <br /> a�enYs.urr,.= <br /> Mill <br /> icrp depereti <br /> CuYe*p Pa+N <br /> �wrd'% <br /> F�a-w IAiN <br /> Bluth must <br /> be On <br /> Concrela,AsphalL <br /> Ptr+".or a Tarp, <br /> Glarb7go <br /> Fla Edn7,eer w i `, Can <br /> Eef <br /> YY'urr <br /> ice Cooler <br /> 3 CLI 1h+K W1A <br /> 1 f.s+a n.8.µe a F�Ld C:a.l.nen mini 2■ 4�'gYrikr Carr inn <br /> "wd A Pt-0"n1 aft <br /> EHO 1"2 <br /> Dd'111115 p+GF 8 d 11 TrMP EVENT I.PP <br />