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10 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45'F(if food is used the fo lowing day• maintain below 41"F temperature) <br /> [4ce chests refrigerator <br /> ❑ Refngerated truck ❑ Ice bath and tubs <br /> ❑Other(specify) <br /> 1 1 1 am providing the following items within my booth for the sanitary c;eaning of food preparation utensils: <br /> ❑Three compartment s!nk <br /> OR <br /> {Three deep tubs (basins 6-8 inches minimum), one for soapy water. one for rinsing and one for a beach <br /> solution(one tablespoon of bleach per gallon of water) <br /> Detergent b each, and wiping cloths(cleaning towels) <br /> �ub 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 /> WOne separate tub(bucket or basin) for the collection of nnselwastewater <br /> Paper towels and pump-style soap container <br /> 13 Names of res nsiblepersons to be present in booth during all hours of operation <br /> �'a c rl vt <br /> "Important— All food vendor booths are subject to inspection Please make a copy of this application �n <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 event. <br /> 14. Completed by f �O N ?� <br /> Signature Title ate <br /> L05.20 GayI leath Permit vast+w <br /> Steab weC�anup <br /> ,._._ Raar tins Towe"! <br /> saae sspenser / <br /> Cucrg eca.a <br /> Sa,nGrw•G,.det• <br /> ca.""d wain n <br /> Praoa a sl-ve 9 eacZ ��t storaq or g[xm s <br /> Df'PrT <br /> P. <br /> armaae'a„• � ^�� <br /> SOAP eM W&W Raise Water 9leatha Waler �—Garbage <br /> r;a e.la,gwsne �� Can <br /> E.ra i <br /> Wales <br /> Ice Cooler 5 Gig Itar-Vwls <br /> Er:ra fce Bags d PPpd Ga+•fa.ners masf x Wasmraatar CtrnarH <br /> Sfaea B,/,ChE3 aNa una'(N,e gro <br />