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i <br /> 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 temparature): a AfPLY <br /> ❑ Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑Other(specify)_ <br /> 11. 1 am providing tine following Hems within my booth for the sanitary deaning of flood preparation utensils: <br /> El compartment sink. i <br /> OR <br /> ❑ Three deep tabs (basins 6-8 Inchas minimum), one for soapy water, one for rinsing and one for a bleach <br /> soMlon (one tablespoon of bleach per gallon of water). { <br /> ❑ Detergent,bleach, end wiping cloths (cleaning towels). <br /> ❑Tub to store wiping cloths in bleach solution. <br /> i <br /> 12. 1 am providing the Ulowing for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: i <br /> F ]4uator supply dispenser with warm water at a minimum of 100`F (i.e.5-20 gallon container with splgot)_ <br /> ❑ One separate tub(bucket or basin)for the collection of rinseANastewater. <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 /> WFi- (')? `l CA . t�r ASA�.1 -e C�f� � �'_j�, ��o�C�� ���2 l <br /> "'Important" All food vendor booths are subject to inspection. Please make a copy of this application in r <br /> preparation for this event. A copy of this checklist must be In the booth at all hours of <br /> preparation and operation. Return orijainal to festival 292EMin214r j &eeks nrlor to <br /> this event. i <br /> 14. QWWO.W"M /2/2-,6 <br /> Dow <br /> 6-Zfl QA. ` <br /> Health Permit '�"us <br /> "W~- <br /> Paper Fend ToNel■ <br /> hoop d1fPa++ <br /> i <br /> Culnrq Hoard Spa bixe0e4 <br /> bias&&wretm NX <br /> P+aP�67we 6 CkAn WON cbths <br /> 1 <br /> Booth Mu5n ba on <br /> Conorata,Aapha[l, <br /> PKwood,or a Terp. r <br /> i <br /> 9u+p artd weed woes wooer BKOM an0 water des4egu i <br /> +r Can <br /> ,f Fire FMnpu;; <br /> I� gooier Gc„a Hand m.h <br /> Erhw kc amp Fme ca v&b-A"rra,ar& <br /> atcred 6 6rohea m9'alfie�uurdf <br /> f <br /> f <br /> e <br /> 4 <br /> END 16-02 Page 8 of 11 TEMP EVENT APP E <br /> oamne <br /> E <br />