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10, 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45eF (if food is used the following day,maintain belaw4l°F temperature): <br /> M Ice chests Refrigerator <br /> [;Refrigerated truck Ice bath and tubs <br /> ❑Other(specify) <br /> 11. 1 am providing the following items within my booth for the sanitary cleanings of food preparation utensils: <br /> 17 Three compartment sink. <br /> OR <br /> NThree deep tubs (basins " inches minimum}, one for soapy water, one for rinsing and one for a bleach <br /> sa ution(one tablespoon of bleach per gallon of water). <br /> ❑Oetergeni, bleach, and Nviping cloths(cleaning towels). <br /> ❑Tub to store wiping cloths in bleach solution. <br /> 1Z 1 am providing the following for adequate hand washing fadlifies, but separate from utensil wash within my <br /> booth'. <br /> ®Water supply dispenser with warm water ai a minimurn of 100°F (Le.5-20 gallon container with spigot) <br /> One separate tub(bucket or basin)for the collection of rinsemastewater- <br /> Paper towels and o, umo_stvle soap container. <br /> 13. Names of responsible��pdrsons to bg nrese/((�7�i in booth during all hours of operation: <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 checklist must be in the booth at all hours of <br /> preparation and operation. Return original to festival coordinator three weeks prior to <br /> this evens. <br /> 14. Completed by: z7cf,�,n'e <br /> rro TKIE Date <br /> 5. �. Tyn'—'�M <br /> ;.r s,za c,r <br /> Health Permit riamwaanw"�' <br /> Stem xV>srT<�g <br /> ash <br /> Papar Hard Too ds <br /> soap�sDasser <br /> Gating�G / 5arrtuo:brxkal <br /> / Edc..w&Wekerlor <br /> P[cpana Slows gl�,-ch slorvg w�ry'ng dulhs <br /> Booth must be art <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane TanY. P �'`_r�'-;y` �: _=_ :,.yi _:r .i.'•=_ -°." _ _ _ _- <br /> ;uzp zrri N'alc r' Rinse Water S0. hardit%Y I �` <br /> Garbage <br /> Cen <br /> weler <br /> r <br /> Ice Cooler 6CQ1Hare wash -- <br /> 'Exl,a lQ sggs a Food C-C"?6/er'•S muv be 1ta:4 lcr Corso. I <br /> slore[7 61r,U1a5 ol/fl!Fae ryMVitr' <br /> EHG 16-02 Pager.of 11 TE.AP EVENT APP <br /> W2611R <br />