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10, <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensils:r 11. <br />OR <br />Oetwgent, btaach, arid wiping ctoths (cfeanlng towels). <br />12.I <br />Paper towels and pump-style soap container. <br />13. <br />Tttto <br />Paper Hand To«wt» <br />Pnopana Stove <br />Ice Cooter <br />TEMP EVENT APPPage 8 of 11EHD 16-02 <br />08/01/16 <br />i am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />45°F (if food is used the following day, maintain below 41°F temperature): <br />□ Refrigerator <br />Q Ice bath and tubs <br />5 Gat Hand <br />Wastewaler Container <br />5-20.Gal <br />Hand wasp Wow <br />Garbage <br />Can <br />Sanitizer bv<k«- <br />bteach & water far <br />■tofaj wipinp <*** <br />□ Ice chests <br />□ Refrigerated truck <br />□ Other (specify) <br />Completed by: <br />7:"-. <br />□ Tub to store wiping cloths in bleach solution. <br />I am providing the foltowing for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />Efwater supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br />[20ne separate tub (bucket or basin) for the collection of rinse/wastewater. <br />Extra laaBags & Food Cort&rwrs rnusl b« ■ <br />ttcntd 8 mcrtM aHotttw grCund' ■ <br />March 2022 <br />Date <br />□ Three compartment sink. <br />ETThree deep tubs (basins 6-fi 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 />| PrapariwTaiit <br />ble persons to be present in booth during all hours of operation: <br />'Seal's (Rftik &WWI ---------------- <br />I.^.u--------,J. ■ <br />| Health Permit <br />Names of responsible persons to be <br />AU 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 orfalml to festival coordinator three w»ifcs PTtef to <br />ti^awbrit <br />'KfexSOfr 6oUs <br />Signature <br />Booth must be oa <br />Concrete, Aupheft, <br />■r Plywood, or a Tarp. F'---------— <br />I Cudna Board <br />BlMCh <br />Soap and Water <br />Fire Extir>»M»bw <br />Stemo WCha*na <br />OWi