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Cu finq Board <br />Propane Stove <br />Propane Tank <br />Sterno wChalting <br />DIsh <br />Health Permit <br />Soap dIspenser <br />Paper Hand Towels <br />Sanitizer bucket- <br />bleach 8, water Or <br />storing wiping cloths <br />Soap and Water <br />Fire Extinqu sher <br />Rilse Waler Bleach and Water Garbage <br />Can <br />E tr <br />t.r <br />(Ice Cooler <br />Extra Ice Bags 8 Food Containers must be <br />stored 6 mches off of the ground! <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org ,ehd <br />EHD 16-02 Page 8 of 11 TEMP EVENT APP <br />0619,19 <br />5-20 Gal <br />Hand wash Water <br />5 Gal Hand wash <br />Wastewater Container <br />Booth must be on <br />Concrete. Asphalt. <br />Plywood. or a Tarp. <br />R EC-008 <br />SAN JOAQUIN <br /> <br />Environmental Health Department <br />—COUNTY <br />Greatnes , - 34VS here <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 />Ice chests E Refrigerator <br />Refrigerated truck [1.I Ice bath and tubs <br />Other (specify) <br /> <br />11. I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br />E Three compartment sink. <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 />E Tub to store wiping cloths in bleach solution. <br />12. I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />El Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br /> <br /> <br />El One separate <br />E Paper towels <br />Names of responsible <br />Patricia Vermilus, <br />tub (bucket or basin) for the collection of rinse/wastewater. <br />and pump-style soap container. <br />all hours of operation: persons to be present in booth during <br />Esaie Vermilus, Rosemarie Sweet <br />**Important** <br />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 original to festival coordinator three weeks prior to <br />07-12-2024 thi s event. eSigned via Seamlos5Go. <br />arAiciaz Cretm‘le&ti <br />8351 dIff 1:L91 ce0 Title Date <br />OR