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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 ❑x Ice bath and tubs <br /> ® Other(specify) coolers <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 /> ❑x Detergent, bleach, and wiping cloths(cleaning towels). <br /> ❑x 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 /> X❑Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br /> ❑x One separate tub (bucket or basin)for the collection of rinse/wastewater. <br /> x❑ Paper towels and pump-style soak container. <br /> 13, Names of responsible persons to be present in booth during all hours of operation: <br /> Maria Ramos,Lililiana Ramos,Antonio Ramos <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-e.Ant. <br /> ,m Owner 2/24/2026 <br /> 14. Completed by: <br /> Signature Title Date <br /> 5-20 Gal. <br /> Health Permit Hand wash water <br /> Stemo w)Chaffing <br /> Dish <br /> Paper Nand Towels <br /> Soap dispenser <br /> Culling Board SartitiZar bnckel- <br /> bleach&water for <br /> Propane stove Bleach storing wlping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propene Tank ••� •- <br /> Seap and Water Rinse Water Bleach and waier Garbage <br /> Can <br /> Fire EKtinquisher <br /> Extra <br /> water <br /> Ice Cooler 5 Gal Hand wash <br /> Extra Ice Bags B Faw Containers must be Wastewater Nntainer <br /> dared 6 rncnas ON Of the groundl <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 08/01116 <br />