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10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods <br /> below 45 degrees Fahrenheit (if food is used the following day, maintain below 41 degrces Fahrenheit): <br /> [ ] Ice chests [ ] Refrigerator [ ] Refrigerated truck <br /> [ ] Ice bath and tubs [ Other(specify): Not applicable. <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> [ ] Three compartment sink Not applicable. Only using disposable utensils. <br /> OR <br /> [ ] Three deep tubs (basins G-S 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 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 /> [xj Water supply dispenser with warm water at a minimum of 100 degrees Fahrenheit (i.e. 5-20 gallon <br /> container with spigot). <br /> [XJ One separate tub (bucket or basin) for the collection of rinse/wastewater. <br /> N Paper towels and um -st le soa container. <br /> 13_ Names of responsible persons to be present in booth during all hours of operation: <br /> Michael Carey or Becky Carey <br /> **Important** All food vendor booths are subject to inspection. Please make a copy of this application <br /> in 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 <br /> to th' v t. <br /> 14. Completed by: Owner 7/7/2018 <br /> igature Title_ - -- -Date <br /> Heath Permit �,••��•=^a. ',�l <br /> LLL <br /> ar• .a <br /> xrsat- <br /> 11 o:�acn�.a,x•a <br /> �:n.rr•iws �rxn :xv r•q.•ony ahs <br /> eomh must ab an <br /> Concrate lsphall <br /> Plywood cr at Tarp <br /> .l s�✓ smw,.c .,•ur a r+su rn:rr e•a�,;,aes»,:.r Garoage <br /> Can <br /> ,a <br /> yaw^ <br /> Ice Cooler, 1T.R *'� s 1a .n,•u.,sh <br /> �- i ur,.l r-Ns•'I M rw�^w a+ <br /> EUD!6-02 TEMP EVENT.%PP <br /> 07128/10 <br />