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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 OF temperature): <br /> 0 Ice chests ❑X 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 /> x❑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 /> El One separate tub (bucket or basin)for the collection of rinse/wastewater. <br /> x❑ Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Karen Tabar and Andrew Tabar <br /> "Important" All 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 original to festival coordinator three weeks prior to <br /> this event. <br /> 14. Completed by: <br /> Karen Tabar Owner 3/22/2026 <br /> Signature Title Date <br /> 5-20 Gal. <br /> Health Permit Ste Hand wash Water <br /> mo w!Chaffing <br /> Dish <br /> Paper liana Towels <br /> Snap dispenser <br /> Culling Board SaNtzer bucket- <br /> bleach 8 water for <br /> Propane Slove Bleach storing wiping Cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Soap and Water L Rinse Water Blaach antl Water Garbage <br /> Can <br /> Fire Exlingulsher <br /> EMra <br /> walar <br /> Ice Cooler I I 5GalHandwash <br /> JI/J Eytra Ice Hags 8 Food Containers must he Wastewater Container <br /> slored 6 inches off of the ground! <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 08/01/16 <br />