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10. 1 am providing the following cold temperatwo control for the cold holding of potentia11y hazardous foods below <br /> 45'F(if food is used the follomng day,maintain bekyv 4 VF temperature): <br /> Z lee chests ❑ Refrigerator <br /> ❑ Rafr+gerated truck ❑ Ice bath and tubs <br /> L; Other(specify) <br /> 11 1 am providing the folkrving rtems within my booth for tho sanitary cleaning of food preparation utonsiln <br /> ❑ Three compartment sink_ <br /> OR <br /> Three deep tubs (basins 6.8 Inches minimum), one for soapy water, om for rinsing and one for a bleach <br /> solution (one tablespoon of bleadz per gallon of water) <br /> ® Detergent, bleach.and wiping cllothls(cleaning towels)_ <br /> ❑Tvb to store ,vaping dohs In bleach Solution. <br /> 12_ 1 nm providing the UlowIng for adequate hand washing facltibes, but separate from utensil vrash within my <br /> boottl- <br /> Water supply citspensef with warm water at a minfmurrn of 100*F (I e, 5-26 gallon container vnth spigot) <br /> One 5eparato tub (bucket or basin)for the collection of riwlwastewater. <br /> Paper towels and L&iPp-style swap container <br /> 13. Namcs of responsible persons to be present In booth durir all hours of operation: <br /> Mohnmad Souriierza Zahnf, Mohamed All Bargaoul <br /> "Important'" Alt food vendor booths are subject to inspection. Please make a copy of this applicalxon in <br /> preparation for this event. A copy of this che+ckitst must be in the booth al all hours of <br /> preparation and operation Rcturn orf Inal to festival coordinator o wooks priar to <br /> this ova t. <br /> `14. Cornpteted by: \ 511 4125_ <br /> sla�trre - - -- TIUP Data <br /> \\ sx Gd� <br /> Health Permit "a'a rlth OjhZr <br /> um+n.►Crvny <br /> Ctsn <br /> Pjpt fVrU'• wf <br /> 7."In+b.rari <br /> � Qe;.ri a rittr rr <br /> -� B oln rrusl t*of� <br /> _ r Cdi'ICfE�.Q,A�adt, <br /> a r, Plywood,or a Tarp <br /> n-S r an:rif+d <br /> ar'aOge <br /> -- _ can <br /> i <br /> Ice Cooler - <br /> EKt■Ar Sr�r t Frz+!C,rlw�►-.rnar �_ rr�t..r..Crrt,rr. <br /> tHp1E-02 P-paor1t 1E PFVEhTAPP <br /> CAS ri t E <br />