Laserfiche WebLink
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)NIA <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 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 /> Mary Madrigal Owner 4/1/2026 <br /> Signature Title Date <br /> 5-2o Gal. <br /> Health Per riand wash Water <br /> Blame wJChaffing <br /> Dish <br /> Paper Nand Towels <br /> Soap tlispenser <br /> Culling Board Sanitizer bucket- <br /> bleach&water for <br /> Propane Slove Bleach storing wiping laths <br /> FCB <br /> oth rnusf be on <br /> ncrete,Asphalt,wood,or a Tarp. <br /> Propane Tank <br /> Soap and Water Rinse Water Bleach and Water <br /> Garbage <br /> Can <br /> Fire Extinguisher <br /> Es]re <br /> Wataf <br /> Ice Cooler 5 Gal Hand"'ash <br /> Extra Ice Hags&Food Containers must be Wastewater Container <br /> stored 6 inches off of the ground! <br /> EHD 16-02 Page 8 of 11 T L MP FVl kT F11 V <br /> 06/01/16 <br />