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10. 1 am providing the fo8owing cold temperature control for Me cold holding of potentialty hazardous foods below <br /> 45'F V food is used the foibwing day, maintain bolokv 41'F temperature): <br /> 0 Ice chests ❑ Rarrigelrator <br /> ❑Refrigerated truck ❑ Ice loath and tubs <br /> ❑cyber(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, ono for msing and one for a bleach <br /> solution (one tabiospoon of bleach per gallon of water)- <br /> ® Detergent, bleach,and wiping cloths(cleaning towels). <br /> ❑Tub to sloru wiping cloths In bleach solution <br /> 12 1 am providing " following for adequate hand washing faclNies, but separate from utensll wash within my <br /> booth <br /> ®Water supply dispenser with warm water at a minimum of 100'F (ke 5-20 gallon container with spigot) <br /> ® One separate tub(bucket or basin)for the collection of rinsehastewater. <br /> ® Paper towels and pump-s1W smag container, <br /> 13. Names of responsible persons to bo present in booth during all hours of operatlon- <br /> BefnadetBaba <br /> "lmpartantoe All food vendor booths are subject to inspectlon, Please maker a copy of this application In <br /> pmparabon for this event. A copy of this checklist must bo in the booth at all hours of <br /> preparation and oporatlon. S u Inal to festival coqL41nalor three w o <br /> this event <br /> 14. Completed by. {1.. 3/14/26 <br /> i 51gnatura Tltle Date <br /> s-M r rt <br /> Health Perrnit «Ta.,ah��.r. <br /> cw <br /> Lf1SC d�]tl1{d <br /> Griru$:.w�! :sntas truAe! <br /> Boctrl must be on <br /> Comma.&pha1[, <br /> Plywood,or a Tarp <br /> s:n?rid Nrr F4u�rlra �M�+a.o rls.r `Cii � <br /> can <br /> M'er+ <br /> i <br /> 1 <br /> F[coGooier I J Ir ta�M.,aw �� <br /> E[ Aa s.w Fvoaf Ca w mrf he I n.a.nn..ca.4rs <br /> -- WWr clan-1srr!rdit onkOO <br /> EHo 1642 Page s of 11 TEMP EVEhT AF rP <br /> rt;mtflA <br />