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SAN�JOAQU � N p <br /> x f T. Environmental Health Department <br /> Y±�""� --COUNTY— <br /> Greatness grow, <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 /> ® 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 /> 1Z 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 1 DO°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 soa container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> RJ Aponte&Chris Jaromnay <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 /> prep ation a peration. Return original to festival coordinator three weeks prior to <br /> this a nt. <br /> 14, Completed by: Event Manager April 5. 2024 <br /> Signature Title Date <br /> 5-20 Gat <br /> Health Permit Hand wash Water <br /> ❑wlChafTing <br /> Dish <br /> Paper Nand Towefs <br /> Soap dispenser <br /> Cutting Board Sanitize,buckef- <br /> bleach&water for <br /> Propene Stava <br /> Bleach elonng VAping doths <br /> Booth must be on <br /> O Concrete,Asphalt, <br /> Plywood, or a Tarp <br /> Propane Tank <br /> ------------- <br /> Soap antl Water Rinse Water Bleach ar.;."dalvr Garbage <br /> Can <br /> Fire&tlnquisher <br /> Extra <br /> water <br /> Ice Cooler 5 Gal Eland wash <br /> Extra ice Bags&Food Containers must be Wastewater Container <br /> stored 6lnches ot7or the ground, <br /> 1868 E Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.orglehd <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 06/29/2023 <br />