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am providing the fu lawing cold temperature control for the cold holding of potential <br /> f 7[45* (if food Is used the following day,maintain below 41 T temperature): ly hazardous foods below <br /> L`r ice Ghosts ❑Refrigerator <br /> ❑ ReFhigemed truck ❑ Ica bath and tubs <br /> ❑ Other(specify) <br /> 1 I am pravlding the following ltarns within my booth for the sanitary cleaning of food prepamlion utaruils' <br /> ❑Tluee Compartment sink <br /> OR <br /> ❑ Three deep tubs (basins 6-8 Inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> solution (one tablespoon of bleach per gallon of water)_ <br /> ❑ Detergent bleach. and wiping cloths (cleaning towels), <br /> ❑Tub to store wiping dotths In bleach solution <br /> 12. 1 am providing the foaoying for odequale hand washing fadUties, but separate from utensil wash within my <br /> booth: <br /> ❑Water supply clispensm vinth warm water at a minimum of 100'F(Le,5-20 gallon container with spigot) <br /> ❑ One separate tub(buckel or basin)for the Collection of nnsefwastcwater <br /> Paper towels and yumkstyie 5pA2 con talnet <br /> 13. Names of responsible perWs to be present in booth during all hours of opomtion- <br /> Mohamed Samaha <br /> "Important•• All food vendor troths aro subject io tnspecan. Please make a copy of this application In <br /> prepambon for this event. A Copy of this checklist must be in the booth at all hou s of <br /> preparation and oporabon. grim odainal to fastival coordinator three vkteeks prior so <br /> this event, <br /> 14. Completed by. 5114/25 <br /> Signature Title Date <br /> Heath Perrnrt rk.r.i�13 w r� <br /> �Tro�o.rA+rn,� <br /> nrn <br /> Pa:w H wd Turd <br /> '.:s d+rDsrsx <br /> Ciarm dn+j <br /> ExrxlM r■AirF <br /> W wcfi t<wtir ks <br /> rFs�nm 5 tr• �l..,., r�t.�*VmJ errs <br /> f <br /> Boah rnL%t ba an <br /> Corcrara.AsphalL <br /> plywood,or r Tarp. <br /> -TCi`I T" a1 <br /> 1I <br /> !M■p■nl x'rrrr Sk'Il H'ak■r .. rrst N'■Yt <br /> e <br /> ►..r rra.ae.r — _ CW <br /> Ur. <br /> Fee <br /> Cooler Ir ,�.,►�,.�.,„►, .�J <br /> 6Hr F.t rLa�r ►orA k rL rArl ox r%u tr I Yk'■■ .QW GMftMF <br /> . ■r■-y E rrnss oTd nr y� � __ <br /> EMU 8- <br /> &► .q C►a{r ofS S <br /> TEW EVENT APP <br />