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10. i nm providing the following mid temperature control for the cold holding of potentially hazardous foods below <br /> 45■F (it food is used the following day, maintain below 41 wF temperature} <br /> ❑ loo chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑01hcw(specify) <br /> 11. 1 am providing the following items Wthln my booth for the sanitary cleaning of food preparation uLanslls: <br /> ❑ Three compartment slink- <br /> OR <br /> ❑ Three deep tubs (basins " inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> solution(one tablospoon of bleach per gales of water). <br /> ❑ Detergent, bleach, and wiping cloths(cleaning loweis). <br /> ❑Tub to store wiping cloths in bleach solution_ <br /> 12. I am providing the WoWng for adequate hand washing facilities. but separate from utensil wash Y ithln my <br /> booth: <br /> ❑Water supply dispenser with warm wand at a minimum of 100■F(i.e. 5-20 gallon contalnr with spigot) <br /> ❑ One separate tub(buckat or basin)for the collection of nnselwastervater. <br /> ❑ Paper towels and pump-sNie sawn container <br /> 13. Names of responsible persons to be present In booth during all hours of operation <br /> Keith Zamora <br /> "Important" A!1 food vendor booths ace subject to Inspection_ Please make a copy of this application In <br /> preparation for thls ©vani- A copy of this checklist must be in the booth at all hours of <br /> prepambon and operalion- Return orlpinal to festival coordinator three weeks_ prier to <br /> this ov*nL <br /> 14. Completed by. Keith Zarnm Owner ?11512025 <br /> S Ithatare Tide Data <br /> �a v <br /> Health Permit Hoc now <br /> forma.vamp <br /> 6U F*w Owd Towds <br /> G,Oti RrJ ftrll�n b.[ts1 <br /> s..�a wrtar fur <br /> 13o5M must be an <br /> 4)ncnMa.Aaphad, <br /> Fri <br /> sywood,or a Tarp. <br /> Prlry"ly Tres - - — - --- - <br /> - -.. . <br /> StWp■W N'aw RY"■1�rir Sa[.fi a'G New Garbage <br /> _ Gar <br /> -- <br /> E.tr■ } a <br /> Y1aR <br /> Ice Caroler <br /> E�-w rtw rbp.���C.au■+.n w.:wr Xw wnerwtis GR'u�a <br /> --- -- am•a��n cYo•r.pR.r.r <br /> EHD id-W Pages a ar I r TF-MP rWN'T MP <br /> na�...■ <br />