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COMPLIANCE INFO_2024
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR2400358
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
4/15/2025 2:47:40 PM
Creation date
4/15/2025 2:46:32 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR2400358
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0001429
FACILITY_NAME
CVMM GANESH UTSAV
STREET_NUMBER
25
STREET_NAME
MAIN
STREET_TYPE
ST
City
MOUNTAIN HOUSE
Zip
95391
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
25 Main ST Mountain House 95391
Tags
EHD - Public
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Sterno w/Chaffing <br />Dish <br />Health Permit <br />Bleach and Water Rinse Water Soap and Water <br />/- <br />Ice Cooler <br />Fire Extinguisher <br />Atitta. vtG,TA <br />Extra Ice Bags 8 Food Containers must be <br />stored 6 inches off of the ground' <br />5 Gal Hand wash <br />Wastewater Container <br />Cutting Board <br />Propane Stove <br />5-20 Gal. <br />Hand wash Water <br />Paper Hand Towels <br />Sanitizer bucket- <br />bleach & water for <br />stonng wiping cloths <br />Soap dispenser <br />Garbage <br />Can <br />E__J I <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />SAN JOAQUIN <br /> <br />Environmental Health Department <br />C CU N — v <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 />Ice chests 0 Refrigerator <br />0 Refrigerated truck Vice bath and tubs <br />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 />OR <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 />Elpetergent, bleach, and wiping cloths (cleaning towels). <br />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 />2/Paper towels and pump-style soap container. <br />Names of responsible persons to be present in booth during all hours of operation: <br />Sagar Patil <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 event. <br />Completed by: <br /> <br /> Riddhi Patel <br />Signature <br /> <br />Owner <br />Title <br /> <br />8/3/2024 <br />Date <br />
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