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10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods bellow <br /> 45'F(If food is used the following day, ma.irtaln below 417 temperature): <br /> ❑ Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ t o bath and tubs <br /> ❑ Other(specify) <br /> arts providing the following items Wthln my booth for the sanitary cleaning of food preparation utensils: <br /> ❑Thtne compartment sink <br /> OR <br /> ® Three deep tubs (basins 6-8 Inches minimum). one for soapy water, ono for rinsing and one for a bleach <br /> sdutfon(one tablespoon of bleach per gallon of watery <br /> ® Deteg8ent, bleach.and wiping cloths(cloaning towels). <br /> ❑Tub to store wiping cloths in bleach rroiution, <br /> 12' 1 am providing the following for adequate hand washing facilities, but separato from utensil wash within rry <br /> booth: <br /> ❑Water suppty dispenser vM11 warm water at a minimum of 1 DOT (.e_ 5-20 gallon container with pplgot). <br /> ❑ One separate tub(bucket or basin)for the collection of rinwJwastawater. <br /> ❑ Paper towels and pumo-style soaI2 container. <br /> 13. Names of responsible persons to be present in booth during all hours of olmration: <br /> Ursula Kamp-Paden <br /> "Important' All food vendor booths are subject to inspection. Please make a copy of this application in <br /> preparation for this event_ A copy of this checkfst must be In the booth at an hours of <br /> preparation and opernUon. HghM odgInal to f H ordinator thrt* weeks Drier tq <br /> is event. <br /> 14. Completed by. s <br /> SI et Title note <br /> Health Permit w.c?w.n Gal <br /> s.r..,rcurlrq <br /> LiIR <br /> r �Wrd Tow► <br /> CJ�MNrd <br /> Errpnr 141iR1 <br /> hN[!1�riYtl 1J <br /> IRo�■54+! [tn�th Yn���i eiFr <br /> 13oosh rnux7 bo on <br /> Cmttesa,IUpna11, <br /> 641p r•Y N.ti q+gIYIMY Ow"aftl Y4'aur ��� <br /> R7 E.atn3.N..r __ C.7[1 <br /> qerl <br /> Ice Cor sas�Yr.r, I <br /> !�hlr Rs�r L Fed�►rtr!na.►1 0» I Nrr..s.C�Yhr <br /> -' stir)/new Md&W j uuRt L ... <br /> EHD1"2 Pop 6dit <br /> 011DIrt 6 T E%r EVENT APP <br />