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10. 1 am providing the forkrMng cold temperaturo tantrd for the cold holding of potentially hazardous foods below <br /> 45'F(If food Is used the fallowing day. maintain below 41'F temperature)- <br /> ® foe chests ❑ Rorrigarator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Offer(specify) <br /> 11. 1 am providing the following items within my booth far the sanitary cleaning of food preparation utensils; <br /> ❑ Throo compartment sink. <br /> OR <br /> JZ Three deep tubs (basins " Inches mlrtimum), one fa soapy water, one for rinsing and one for a bleach <br /> solution (one tabiespoon of bleach per gallon of water). <br /> ® Detergent, bleach.and wiping cloths(cleaning towels). <br /> ❑Tub to store wiping dWhs In bleach solution. <br /> 12- l am pnwidmg the following for adequate hand washing facAticrs, but separate from Viongd wash within my <br /> booth <br /> �$Water supply dispenseirwith warm water at a minimum of 1D07(Le. 5-20 gallon container with spigot) <br /> ®One yepamte tub(bucket or basin)for lhn collectlon of rinsehvastewatef. <br /> Paper lowels and pump-slyly soap contaa+er. <br /> 13. ?`lames of responsible persons to be present In booth during all hours of operation: <br /> Cesar liemandez <br /> "Important' M food vendor booths are subject to inspection- Please make a copy of this application In <br /> preparation for this event A copy of this checklist must be in the booth at all hours of <br /> preparation and operatlon. Return odainal to festh{all coordlnaft thm )reoks arfor to <br /> this event, <br /> 14. Completed by. _ t` O 9-$ �! 5/14/25 <br /> Signature Title Dart <br /> 5120 Ilia. <br /> Health Permit Hmi as.*yenw <br /> n.. <br /> napes Hw fm..aa <br /> L�.a a aK*+er <br /> G.►sm Mid Su.Lfa 6.al.r• <br /> bbl"i weir for <br /> 800ch must ba on <br /> Calavia,AsphA <br /> PsY,rvod,or a Tarp. <br /> soap aid N'artr 4r•ar L\'aeia Srul+arA�va.\.r Gubage <br /> ``.ill <br /> Fro Esvo..h� <br /> Est■ <br /> rt r� <br /> 1 ce Cooler <br /> Csl+e R7 Mpe FoA GulHnsra ew t� `Nod a.alr C m I.nw <br /> .n.w r•.„ed mr W«a pn-r r <br /> EHO 1"2 Pape a of 11 TCUP 1VV%7 APP <br /> asOvrc <br />