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1D. I am pnayiding ft following cold temperature control for the cold holding of potentially hazwdous foods below <br /> 45'F (If food is used the following day, marntaln below 41'F temperatutn): <br /> ® Ice chests ❑ Ralrigerator <br /> ❑ Refrigerated truck ❑ Ica bath and tubs <br /> ❑ Other(specify)_ <br /> 1. I am pmWng the following trams within my booth for the sanitary loaning of food preparatiam uternils: <br /> ❑Thlraa compartment sink <br /> OR <br /> ® Three deep tubs (basins 6.8 Inches minimum), ono for soapy water, one tot rinsing ano ono for a bleach <br /> solution(one lat4espoon of bleach per gallon of water). <br /> ® DetaTent, bleach,and wiping cloths (cleaning towels) <br /> ❑ Tub to store wiping cloths in bleach sdutlon. <br /> 1Z I am providing the fokwing for adequate hand washing facjblws, but separate from uteri" wash within my <br /> booth: <br /> ®Water supply dispenser with warm water at a minimum of 100'F (ce. 5-20 gallon container with spigot). <br /> ® One separate tub(bucket or basin)for the collection of rinseMastawaier. <br /> Paper towels and pumrrstyio scant container. <br /> 13. Names of re5ponslble parsons to be present in booth during all ha_,rs of operation: <br /> Lindsey Shrader, Jahn Mcgrath <br /> Impormnt•• All food vendor booths are subject to inspection. Please make a oopy of this application In <br /> preparatlon far this evariL A copy of this checklist must bo In the booth at all hours of <br /> preparation and oporation. Rytum original to festival coordinator threw wt2h j vriar to <br /> th v <br /> 14, Completed by. <br /> • � 4/2/2026 <br /> gnatdre Title date <br /> S-7] �.r <br /> Health Permit rrtdsaahWatu <br /> ©Itra�Cfrllq <br /> fl�gr Mrtl T:r.ol. <br /> C.ale�pcvru <br /> 6ana:aar e.aaId- <br /> DR"a u..Ira <br /> Ptt=r•1nw ==i _ ahy%-g-r.—arnn <br /> Boot t rrust be an <br /> '�uzrete,AsphW� <br /> Plywvad,or a Tarp <br /> _- <br /> Geabage <br /> si..f et+tuif+w <br /> Can <br /> /1rt <br /> Ice Cooler � �or Ha%:1 ruM <br /> E.►7 kr BA,W r r i..1 cwgw—'.au.r to 'zt-a m C 1. <br /> ' - — atri!!rcfwa alyd Rr,�rv. I <br /> LHa 1"2 pare a or 1 t <br /> aa,jvia TELAP EYFh7 APP <br />