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Cutting Board <br />Sterna vsChalfing <br />Dish <br />rr..2r,ace <br />Health Permit <br />Propane Teals <br />5-20 Gal. <br />Hand wash Water <br />Soap dispenser <br />Paper Heal Towels <br />Sanitizer bucket- <br />bleach &water lot <br />storing Wring cloths <br />Propane Stove <br />Bleach ani Water Ft nse Water <br />5 Gal Had wash <br />Wastewater Container <br />Ice Cooler I <br />Soap an Water <br />Fire Extinguisher <br />Extra ice Bags & Food Containers must be <br />stared 6Jaches allot the ground! <br />Garbage <br />Can <br />Booth must be on <br />Concrete, Asphalt <br />Plywood, ore Tarp. <br /> <br /> <br />R EC-008 <br /> <br /> <br />SAN JOAQUIN Environmental Health Department <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 followin , maintain below 41°F temperature): rIce chests Refrigerator <br /> Refrigerated truck Ice bath and tubs <br />Other (specify) <br />11.providing the following items within my booth for the sanitary cleaning of food preparation utensil <br />rrhree compartment sink. <br />Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br />ion (one tablespoon of bleach per gallon of water). <br />etergent, bleach, and wiping cloths (cleaning towels). <br />ub 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 />giNater supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br />Rne separate tub (bucket or basin) for the collection of rinse/wastewater, <br />\F,Daper towels and pump-style soap container. <br />1.1 riles of responsible persons to be present in booth during all hours of operation: <br />vi LcL, <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 />prepar and o eraiior Retuni_odginal to festival coordinator three weeks prior to <br />thi <br />Signature itle <br />1868 E. Flazellon Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 4e4-0138 I www.sigov.orgiehcl <br />El-ID 16.02 Page 8 of 11 TEMP EVENT APP <br />06119/19 <br />OR <br />BrA <br />Completed by: _ SUB <br />Date