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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. l 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 1007 (i.e. 5-20 gallon container with spigot). <br /> ❑ One separate tub (bucket or basin)for the collection of rinselwastewater. <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 /> Linda durham, pauta romero, anthony romero <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: none 3/3/26 <br /> Signature Title Date <br /> 5-20 GM, <br /> Health Permit Hand Wash Water <br /> Stemo wlGhathng <br /> Dish Paper Hand Towels <br /> Soap dispenser <br /> Guttlng Board Santttzer duckat- <br /> bleaCltB Water Tor <br /> Propane Stave <br /> Sieach staring wiping doths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank - - <br /> Soap and Water Rlnse Water Sieach and water <br /> Garbage <br /> k- Can <br /> Fire Extinguisher <br /> _•;;'� � Weler <br /> '�1 •:r <br /> Ice Cooler 5Gal Hand wash <br /> Extra tce Bags 8 Food Conlelners must he Wastewater Gontalner <br /> slorad 6 inches oft of the ground! <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 08/01116 <br />