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10. I am providing the fdtowi� cold temperature control for the cdd hoidmg of potentially hazardous folds bg mW <br /> 45'F (if food is used the following day, maintain belcm 41T temperature): <br /> ❑ Ice chests ❑ Refrigerators <br /> ❑ Refrigerated triFck ❑ Ice bath and tubs <br /> ❑Other(specify) <br /> 1 l am providing the folowing items within my booth for the sanitary cleaning of food preparation utensils: <br /> Three compartment sink. <br /> OR <br /> ❑ Three deep tubs (basins 6-$ 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 stone wiping cloths in bleach solution. <br /> 12. I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> tooth: <br /> ZWater supply dispenser with warm water at a minimum of 100"F (i.e. 5-20 gallon container with spigot) <br /> VAne separate tub(bucket or basin)for the colix-tm of rinseMastewrater. <br /> Raper towels and pump-style soap container <br /> 13. Na of responsible persons to be present in�booth during all h/puts 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 a)I hours of <br /> preparation and operation. Return orislinal to feetival "andinator three weeks prior to <br /> tit even <br /> 14. Completed by: r <br /> Signature Title Date <br /> "I <br /> iealttt Permit HanddWBM Mmr <br /> Stoma WY Chaift � <br /> Disfr <br /> Paper IiBlla Tuwel! <br /> Soap rMpareer <br /> Cuttlria Board <br /> $�Liet buckal- <br /> �e�wCh&weLei for <br /> Proaana Slova BieSth �°"N14 r8 doilu <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Pywood,or a Tarp <br /> Propane Tack <br /> ;IceCooler <br /> SoapGarbage <br /> Ire ExvnaLuCan <br /> 5 Gat Hand wash <br /> _ E n Joe Bags 6 Fmd Corrlam9r5 must TQ ba Wastowntar Contsmw <br /> -gbf*d s rn�Ches off of the groin, ,I <br /> EHo 1"2 Page 8 0?11 <br /> 7/28/10 TEMP EVENT APP <br />