Laserfiche WebLink
10. <br />I am providing the following items within my booth for the11. <br />12. <br />13. <br />Completed by:14.signature <br />i <br />Paper Hand Towels <br />Soap dispenser <br />Bleach <br />Propane Stove <br />I <br />Propane Tank <br />Fire Extinguisher <br />TEMP EVENT APP <br />Page 8 of 11 <br />Health Permit <br />Ice chests <br />□ Refrigerated truck <br />□ Other (specify) <br />Siemo wfChaffing <br />Dish <br />XjJ Refrigerator <br />□ Ice bath and tubs <br />5 Gal Hand wash <br />Wastewater Container <br />Garbage <br />Can <br />Sanitizer bucket­ <br />bleach & water for <br />storing wiping cloths <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />Extra <br />Water <br />5-20 Gal. <br />Hand wash Water <br />Title <br />■ 7T'-7'_. T <br />Extra Ice Bags & Food Containers must be <br />stored 6 inches off of the ground! <br />t <br />Rinse Water <br />sanitary cleaning of food preparation utensils. <br />Ice Cooler <br />t___ ________‘ <br />EHD 16-02 <br />8/1/14 <br />“Important** <br />'X'XQ] Paper towels and pump-style soap container. <br />Names^^e^onsib^^^op^^^e presentjp booth during all hours of operation.________________ _ <br />subject to inspection. Please make a copy of this application in <br />L'.J checklist must be in the booth at all hours of <br />original to festival coordinator three weeks prior to <br />4^4 <br />] I I , <br />I <br />Soap and Water <br />All food vendor booths are <br />preparation for this event. A copy of this <br />preparation and operational Return cr:~:~2 <br />thfearent.'A,, / _ <br />I 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 />Q Three compartment sink. <br />°R 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 />''ig Detergent, bleach, and wiping cloths (cleaning towels). <br />S'T3 Test strips to measure sanitation levels for bleach solution measuring 100ppm. <br />Tub to store wiping cloths in bleach solution measuring 100ppm. <br />I 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 WOT (i.e. 5-20 gallon container with spigot). <br />one separate tub (bucket or basin) for the collection of rinse/wastewater. <br />Cutting Soard