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10. b am providing the following cold temperature control for the void holding of pot,entkUy haznrdous foods below <br /> 45OF (if food Is used the following day, maintain below 41'F temperature): <br /> ® ice chests ❑Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tube <br /> ❑ Other(specify) — <br /> 11. 1 am providing the following items within my booth for the sanitary ckaning of food preparation utensils: <br /> ❑Three compartment sink. <br /> OR <br /> ® Three deep tubs (basins 6-8 inches rruni►um), ono for soapy water, one for rinsing and one for a bleach <br /> solution (one tablespoon of bleach per gallon of water)_ <br /> Q Detergent, blench,and wiping cloths(cleaning towels). <br /> ❑ Tub to store wiping cloths in bleach solution. <br /> 12 I am providing the following far adequate hand washing fa titles. but separate from utensil wash within my <br /> booth <br /> Water supply dispens©r with warm water at a minimum of 1 DD'F(Lo, 5-20 gallon eonUuner vnth spigot). <br /> ®One separate tub(bucket or basin)for the cotlectlon of rinseMastewater. <br /> ® Paper tovieks and oumo-We saav container. <br /> 13. Names of responsible parsons to be present in booth during all hours of operation: <br /> SurWr Kaur <br /> "Important' All food vendor booths are subject to Inspection. Please make a copy of this application in <br /> preparation for this avant. A copy of this cheddist must be In the booth at all hours of <br /> preparation and operatlon, Ratum orlainal to feWyall coordinatQr thal weeks gmior to <br /> this resent. <br /> 14. Completed by: <br /> ' 5I1412 5 <br /> Signature Title Date <br /> 520 liar. <br /> Health Permit ""''`90""'" <br /> 61Mn���iT-p <br /> Gam' Pq�r ltiad Tmrf <br /> [+cap rlawnur �T <br /> Wua�re / Smatert�+� <br /> :4w�Cw�V <br /> F1.psA lid.. �. .; � rt•�ry wpq c#.:lrA <br /> Booth must be w <br /> t-.Or1 Wo.!%«Turn <br /> r MywvW,or a Tarp. <br /> 5M0% !WNW R►'fa WA r C►arbaga <br /> can <br /> r..E drSiJJr <br /> u rr. <br /> /f <br /> Ice Coole it } 0 Udi Huai sow <br /> i' <br /> F�1-s L-rl aa� fir,0 Gxrar..+�rzaf L• 11'uY�W Gmror <br /> END 16 C2 Peal Cr 11 7E"EVENT APP <br />