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10. 1 am providing the following-cold temperature control for the cold holding of potentially hazardous foods below <br /> 450F (if food is used the following day, maintain below 41°F temperature): <br /> ce 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 cleaning of food preparation utensils: <br /> ❑Three compartment sink. <br /> OR <br /> Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> dution(one tablespoon of bleach per gallon of water), <br /> `Detergent, bleach, and wiping cloths(cleaning towels). <br /> Tub to store wiping cloths in bleach solution. <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 /> 14 <br /> 1one separate tub(bucket or basin) for the collection of rinse/wastewater. <br /> Paper towels and pump-style soap container. <br /> 13. Na of responsible persons o be present in booth dun all hours of operation: <br /> **tmportarit** 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. etaarrr €art teal to feafivat coon fnator three weeks riar to <br /> this event, <br /> 14. Completed by: Title DateSignature <br /> 5-20 Gal. <br /> -- - [.land wash Water <br /> ��Health Permit SlemowlChaHing ! <br /> -/C Paper Hand Towe;s <br /> $nap dispenser 1 Sanitize' <br /> bucket- <br /> irutiing Board bleach E water t <br /> sloriitg w!ping c!oihs <br /> Bleach <br /> Propane Stove <br /> 8tinth must be an <br /> . tC oncrele,AS bad <br /> ywbad or a Tarp. <br /> Propane Tank � <br /> Soap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> rue Extinguisher ry <br /> Extra ii Water <br /> Ice Cooler SGaiHandwash <br /> i Extra Ice Bags S Food Containers must be <br /> Wastewater Container <br /> stored 8 inches oil of the ground <br />