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a <br /> A t <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45 IF(if food is used the followingday, maintain below 41°F temperature): <br /> ❑ Ice chests I"I ❑ 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 cleaning of food preparation utensils: <br /> ❑Three compartment sink. <br /> OR 06 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 /> �]Test strips to measure sanitation levels for bleach solution measuring 100ppm. <br /> M Tub to store wiping cloths in bleach solution measuring 100ppm. <br /> 12. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> Water supply dispenser with warm water at a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> One separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> Paper towels and pump-style soap container. <br /> 13. Na of responsible p sons to be present'n booth during all hours of operation: <br /> Ova �L� <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 coordln for three weeks prior <br /> this event. <br /> 14. Completed ! __ _ �`" <br /> Signature Title date <br /> 5-20 Gal. <br /> Health Perm it HandweahWater <br /> demo vGhatftnq <br /> Paper Hand Towels <br /> Scrap dispenser <br /> Cullfng 8aerd sanillzer buckel- <br /> trleadi&water fur <br /> Propane Stove <br /> Bleach storing wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propana Tank <br /> r Snap and water Ponse Water Bleach and water Garbage <br /> Can <br /> Fire E>ttlngulsher <br /> Extra <br /> water <br /> FIceaoler III 5Get HandEx"ke Begs&Food Confafners nn,sr be Wastewater container <br /> - ! stored 6 Brohes off of thegnrmdl <br />