Laserfiche WebLink
Title ature <br />li**141K <br />I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />4„(5°F if food is used the following day, maintain below 41°F temperature): iir 2,. <br />ce chests 0 Refrigerator <br />0 Refrigerated truck n Ice bath and tubs <br />0 Other (specify) <br />roviding the following items within my booth for the sanitary cleaning of food preparation utensil <br />ree compartment sink. <br />gt1Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br />solu (one tablespoon of bleach per gallon of water). <br />ergent, bleach, and wiping cloths (cleaning towels). <br />L.YTub to store wiping cloths in bleach solution. <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />VVater supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br />LI/One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />D/F -Daper towels and pump-style soap container. <br />Names of responsible persons to be present in booth during all hours of operation: <br />t 5 <br />YVVN1,-NI <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 operation. Return original to festival coordinator three weeks prior to <br />this e <br />OR <br />Completed by: <br />5-20 Gal <br />Hand wash Water <br />Paper Hand Towels <br />Health Permit <br />Sterno w/Chrehog <br />Dish <br />Cutting Board <br />Propane Tank <br />Soap and Water <br />Are Extinguisher <br />Rinse Water Bleach and Water Garbage <br />Can <br />E a <br />dtP <br />Ice Cooler <br />Extra Ice Bags & Food Containers must be <br />stored 6 inches off of the ground! <br />5 Gal Hand wash <br />Wastewater Container <br />1868 E. Hazelton Avenue! Stockton; California 952051 T 209 468-34201 F 209 464-0138 I www.sjgov.org/ehd <br />EHD 16-02 Page 8 of 11 TEMP EVENT APP <br />nr1Pnit-gm <br />Soap dispenser <br />Propane Stove <br />fq4,1 `-( <br />Date <br />Sanitizer bucket- <br />bleach &water for <br />storing wiping cloths <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp.