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REC-008 <br /> <br />SAN JOROJIN <br /> <br />Environirn9nial Health Department <br />— C 6 LI NT Y-- <br />.i. <br />10. I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> <br />5°F (if food is used ihe followin , maintain below 41°F temperature): <br />Ice chests <br />efrigerated truck e bath and tubs <br />ther (specify) <br />Ref erator <br />11 providing the following items within my booth for the sanitary cleaning of food preparation utensil <br />hree compartment sink. <br />h ee deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br />on (one tablespoon of bleach per gallon of water). <br />e ergent, bleach, and wiping cloths (cleaning towels). <br />b 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 />Nater supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br />ne separate tub (bucket or basin) for the collection of rinse/wastewater. <br />,/ paper towels and pum_p-stvle sow container. <br />Names of relsponsible persons to be pre lent in booth during all hours of operation: <br />Ve-NOkOk y-1(TJ <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 vent. /9 , \ 0, cAte' Completed by: <br />Signature /7 Titi <br />7," <br />Bleach andt Water Rinse Water <br />Health Permit <br />Cutting Board <br />Propane Stove <br />Stern° enChalling <br />010k Paper Hand Towels <br />Sanitize,' bucket- <br />bleach &water ?or <br />stortni witainl cloths <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />5-20 Gal. <br />Hand wash Water <br />Soap dispenser <br />Propane Tank <br />5 Gal Hanti wash <br />Wastewater Container <br />Ice Cooler <br />Soap and Water <br />Fire Exi ingulsher <br />Extra toe Bags & Food Conteglers must be <br />stored ti 'Inches oft ol Ike groundi <br />1868 E. Hazellen Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 I wwvv.sjgov.org/ehd <br />END 16-02 Page 8 0111 TEMP EVENT APP <br />06)19)19 <br />OR <br />SUBMIT <br />Date