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10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45'F (d food is used tho following day,maintain below 41'F temperature): <br /> © ice ttho5ts ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ ice bath and tubs <br /> ❑ Other(specify) <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation uterisits: <br /> 0 Three compartment sink. <br /> OR <br /> ❑ Three deep tugs (basins 6-8 Indies minimum), one for soapy water, one for rinsing and one for a bleach <br /> solution(ono tablespoon of bleach per gallon of water). <br /> ❑ Detergent,blear_h, and wiping cloths (cleaning towels). <br /> ❑ Tub to store wiping Goths In bleach solution. <br /> 12. 1 am providing the following for adequate hand washing faaifriies, but separate from utonsd wash within my <br /> booth: <br /> ®Water supply dispenser with warm walm at a minimum of 100'F(i.e. 5-20 gallon container with splgot). <br /> x❑One separate tub (bucket or basin)for the won of rinselwastewater, <br /> 0 Paper towels and pumt7-siySe snag container. <br /> 13. Names of responsible persons to bo pre5ent In booth during all hours of operation, <br /> Karon Tatar and Andrew Tabar <br /> "Important" Ail food vendor booths are 5u*ct to Inspection. Please make a copy of this application in <br /> Preparation for this event. A copy of this checklist must be in the booth at ad hours of <br /> preparation and operation, Ftetum orkainal to festival coordinator three weeks prior to <br /> this ey <br /> 14, Completed by. Karen Tabar Owner 312212025 <br /> S gnature Title - — Date <br /> Hearth ptmni! e'»� <br /> Lsari o w•u�n,w <br /> o.� <br /> F'.�r Mv.f•.nwel� <br /> SaiC,tipYrr <br /> Gus+o f'erti <br /> 1a..r1, <br /> �-.sue.. nrs.rn �•y,ra.r��, <br /> Bootie must be on <br /> Concrete.Asphalt, <br /> Ply*ood,or a Tarp <br /> r'�L`rlY�Terri <br /> spa r tl rvtr R.a.Aqw ft.ch&-I nVAr C�Aayo <br /> Can <br /> Yl.Iw <br /> Ice Cooler J I S GPI Hur.i+%` <br /> 1,. C.iRI ky 6y 4 tow Gallrtw r wa1v M'+FYa�Yrr Cc�hilr <br /> E HD t S-w <br /> Mo lm; Pago 9 u 11 1 UVI Ev"T A?P <br />