Laserfiche WebLink
5-20 Gal. <br />I-land wash Water <br />Propane Stove <br />Sterno w/Chatfing <br />Dish <br />Health Permit <br />e subject to Inspection. Please make a copy of thls application In <br />yen A copy of this checklist must be in the booth at all hours of <br />Retum original to festival coordinator three w eks rior to <br />0Ame/if 00 ii,2 11 <br />Title Date <br />**Important** All food vendor boot <br />preparation for thi <br />preparation and <br />this event, <br />Completed by: <br />Scan end Water <br />Extra ke Begs & Food Containers must be <br />stored 6 inches a7 of the proud? <br />Rinse Water <br />Extra <br />Water <br />5 Gal Fbnd wash <br />Wastewater Container <br />Garbage <br />Can <br />Cutting Board <br />Soap dispenser <br />Paper 1-tend Towels <br />Sanitzer bucket. <br />bleach & water for <br />storing wiping cloths <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />SAN JOAQUIN Environmental Health Department <br />—COUNTY— <br />. <br />10. 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 />0 Ice chests CAefrigerator <br />0 Refrigerated truck D Ice bath and tubs <br />0 Other (specify) <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br />0 Three compartment sink. <br />0 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 />petergent, bleach, and wiping cloths (cleaning towels). <br />U'Tub 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 />0 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 />0 Paper towels and pump-style soap container. <br />Names of responsible persons to be present in booth during all hours of operation: <br />1868 E. Hazelton Avenue Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/ehd <br />END 16-02 Page 8 of 11 TEMP EVENT APP <br />06/29/2023 <br />OR <br />Scanned with CamScanner