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10. 1 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 /> ® Ice 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 /> 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 /> Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br /> ® One separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> ® Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> "Important; All food vendor booths are subject to inspection. Please mare 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 original to festival coordinator three weeks prior to <br /> this event. <br /> 14. Completed by: <br /> Maurad Tarek Owner March 23, 2026 <br /> Signature Title Date <br /> 5-20 Gal. <br /> Health Permit Hand wash Water <br /> Stoma wlChafTng <br /> High Paper Hard Towel <br /> Sflap dispenser <br /> Culting Board Sanitizer bucket- <br /> bleach 8 water for <br /> Propana Stove <br /> Bleach storing wiping doths <br /> Booth must be on <br /> Concre4e,Asphalt, <br /> Plywood, raT.rp <br /> . <br /> Propane Tank - - <br /> Soap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fire Extingulsher <br /> Extra <br /> Water <br /> [Ic!Cooler SGal fiantl wash <br /> Extra Ice Hags 8 Food Containers must be Wastewater Container <br /> stored 6 inches off of the ground! <br /> EHn 16-02 Page B of 11 TEMP EVENT APP <br /> 08101/16 <br />