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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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TURNER
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1101
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1600 - Food Program
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PR0505280
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COMPLIANCE INFO
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Entry Properties
Last modified
6/28/2026 11:38:21 AM
Creation date
7/8/2020 12:32:43 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0505280
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0015424
FACILITY_NAME
FOURTH OF JULY PANCAKE BREAKFAST
STREET_NUMBER
1101
Direction
W
STREET_NAME
TURNER
STREET_TYPE
RD
City
LODI
Zip
95242
APN
03902010
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\bmascaro
Supplemental fields
Site Address
1101 W TURNER RD LODI 95242
Tags
EHD - Public
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SA N 1 O A Q U I N Environmental Health Department <br /> COUNTY----- <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 temperature): <br /> ❑X Ice chests ❑ Refrigerator <br /> ® Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensil <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 /> Tal Steckman RJ Aponte, & Chris Jaroma <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 op ation. Return original to festival coordinator three weeks prior to <br /> this eve <br /> 14. Completed by: Event Manager June 20, 2023 <br /> Signature Title Date <br /> 5-20 Gal. <br /> Health Permit Hand wash Water <br /> Sterno wlChaffing <br /> ] L <br /> Cash <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board Sanitizer bucket. <br /> bleach&water for <br /> Bleach storing wiping cloths <br /> Propene S[we <br /> Booth must be on <br /> Concrete, Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Soap and Water Rinse Water bleach and Water Garbage <br /> Can <br /> Fire Edinguisher <br /> Extra <br /> Water <br /> Ice C o o I er 5 Gal Hand wash <br /> Exlralce Bags B Food Containers musl be Wastewater Contalner <br /> stored 6 inches ofoflhe ground! <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHD 16-02 Page 6 of 11 TEMP EVENT APR <br />
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