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5-20 Gal. <br />Fiend Wash Wator <br />Propane Sieve <br />Soap dispd ASO <br />alenv %Chairing <br />1151s <br />"Important" <br />14, Completed by: <br />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 °dolma! to 'festival coordinator three weeks prior to, <br />this event <br />Co-Owner <br />Title <br />04/18/2024 1 <br />Dale <br />ntasoWator <br />bit/Tic:\ <br />Water <br />Wench and Mier Saap and Watof <br />F ibo Exile/wisher <br />ce Cooler <br />Ellta tan Bags ,4 rand Conlaaaa Masi a4 <br />slated 61nahas all a! (hoground, <br />&GM inai weoll <br />Wastewater Caoleiner 11 <br />Cutna Board <br />(7 8ialure <br />NW Herat-Wage <br />Sanititar backel- <br />aloeth vat to <br />sormg vApIng clh <br />Ciarbugo <br />Con <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or o. Tarp, <br />DocuSign Envelope ID: A6E74685-DEDE-4900-90F6-8D6DC4F9DF9A <br />SACOAQUIN <br />_cot) N T <br />Grootmess 9rows here. <br />RC-008 <br />Environmental Health Department <br />I am providing the following cold temperature control ior the cold holding of potentially hazardous foods below <br />5°F (If food Is Used the tollowin , maintain below 41°F temperature): <br />be chests Refrigerator <br />eIdgerated truck Ice bath and tubs <br />tiler (specify) <br />Lam providing the following items within my booth for the sanitary cleaning of food preparation utensil <br />hree compartment sink. <br />Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br />Nit ion (one tablespoon of bleach per gallon of water). <br />FDetergent, bleach, and wiping cloths (cleaning towels), <br />>crub10 store wiping cloths In bleach solution. <br />1 2, I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />14/ater supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br />f;;Pne separate tub (bucket or basin) for the collection of rinse/wastewater. <br />Illaper towels and pump-style soap container. <br />13. Names of responsible persons lo be present in booth during all hours of operation: <br />Daniel & Cecilia Guy <br />1868 E.1-lazelion Avenue 1 Stockton, California 952051 T 209 468-3420 I F 209 464-0138 I www,sjgov.orgtehd <br />Eno 16,02 Pape of 11 TEIAP EVENT APP <br />0B/1911 <br />OR