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11. <br />' OR <br />12. <br />lJ Water supply dispenser with warm water at a minimum of 10O’F (i.e. 5-20 gallon container with spigot). <br /> One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />Names of responsible persons to be present in booth during all hours of operation: <br />prior to <br />Completed by? 14. <br />Paper H3M TcwHs <br />Soap diwen&or <br />BleachProc-ana Sieve <br />n 5 <br />Propane Tank <br />Bleach and Water <br />Fire extinriu'hw <br />Ice Cooler <br />TEMP EVENT APP <br />.0 <br />Soap fine Water <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 />Q Tub to store wiping cloths in bleach solution. <br />5-20 Gai. <br />Hand wash W9M <br />Garbage <br />Can <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />I am providing the following items within my booth for the sanitary cleaning of food preparaUon utensil <br /> Three compartment sink. <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />5 Gal Hand wash <br />WastcwRtcr Ccrtainer <br />SaiTtircr bucket- <br />bic&d'i & water tor <br />sterwg wiping doths <br />/Slemo -w'ChalTirxj <br />Dish <br />fxtra Jew Bifjs S Fwti Conlariners must M <br />S!«V-T 6 inches eff of the grarndJ <br />Health Permit <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 opfiperation. Return original to festival coordinator three weeks prior ti <br /> <br />" Title ^ate / <br />1868 E. Hazelton Avenue | Stockton. California 95205 | T 209 468-3420) F 209 464-0138 | www.sjgov.org/ehd <br />EHO 15-02 Page 8 of 11 TEMP EVENT AJ <br />06'23/2023 <br />^sFgna^lre <br /><// <br />i'/' V —E^Paper towels and pump-style soap container. <br />41 <br />\^r n i v_/ n k/ i > <br />-----COUNTY— <br />**lmportant** <br />7 <br />Rinse W8WT <br />10. lam providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />/ 45’E (if food is used the following day, maintain below 41 °F temperature): <br />Ice chests Refrigerator <br />! ’ ' Refrigerated truck Ice bath and tubs <br />/ Other (specify)_ _________________________________ —------------------- <br />Cultna 3Mfd