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10. 1 am providing the foliowing cald temperatufa control for the cold holding of paternally hazardous foods below <br /> 45'F(if food ks used the following day,maintain below 417 temperature): <br /> 'LN ice chests ❑ Refrigerator <br /> ❑ Rafrigerated truck ❑ Ice 6.71.h and tubs <br /> LJ Other{specify} <br /> 11. I am providing the fotiom,ing items within my booth for the sanitary cleaning of food preparation utensils <br /> ❑ Three compartment sink. <br /> OR <br /> EZ Three deep tubs (basins 6-8 inches mtnlmum), one for soapy water, one for rinsing and one for a bleach <br /> solution (one tablespoon of bleach par gallon of water) <br /> ® detergent, bleach,and wiping rJoths(cleaning towels). <br /> ❑ Ttr to store ,viping cloths in bleach Solution. <br /> 12_ 1 am providing the following for adequate hand washing faciliGas, but separate from utensil vrash within my <br /> booth, <br /> Water supply disperisef with warm water at a minimurn of 100'F(1.o. 5.20 gallon container with spigot) <br /> One separate tub (bucket or basin)for the coilection of rinsetwastewater. <br /> Pap-or towels and j&mp-style soap container <br /> 13. flames of responsible persons to be prosent In booth during all hours or operation, <br /> Moharnod 5oufiena Zahaf, Mohnm-d NI Bargtioul <br /> "Important" Alt food vendor booths are subject to fnspecWn_ POase make a copy of this appticaNxi In <br /> preparation for thls event. A copy of thts checklrst must be in the booth at all hours of <br /> preparation and operation Rytyrr on Inal to festival coordinator o woeka pdor to <br /> this ovA t. <br /> 14. Completed by, 3111126 <br /> Sig atu r R Title Cato <br /> \\ 6 X C.A: <br /> Health Permit Ha tl wen,�rw <br /> u.n,n..Cryn-p <br /> cf�+ <br /> �'ll}[Y H1hS Tlfrr� <br /> 6.WuJsu..nr <br /> Gn rp!) !An o no bao,el <br /> ua�ri l rLar Try <br /> Bw(h must be ou <br /> corxrfe,Awhile. <br /> T Plywood,or a Terp J <br /> S.0 r,J rri,. rLr.r�r. N-n.T a+.rrru <br /> Can <br /> Fir EaYpnh- <br /> i <br /> N'rrle <br /> Ice Cooler ,�,►�,,,..�, <br /> �; �iaa�.n„F,a fm..r e„,..,.-,,nun', w.e..,+.c+.*b►� <br /> -' �t►rJ�•e.5u dr d i'r p-iicP <br /> FHptb42 r- ekAdofI1 TEMPFVEN7AR <br /> raarclne <br />