Laserfiche WebLink
SA N J DA Q U I N Environmental Health Department <br /> —COUNTY <br /> 10. 1 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 ❑Refrigerator <br /> ❑Refrigerated truck ❑Ice bath and tubs <br /> ❑Other(specify) <br /> Ili_ I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> ❑Three compartment sink. <br /> OR <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 /> ❑Tub to store wiping cloths in bleach solution. <br /> 12. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> ER Water supply dispenser with warm water at a minimum of i00eF(Le.5-20 gallon container with spigot). <br /> [ One separate tub(bucket or basin)for the collection of rinsetwastewater. <br /> ]Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Patricia Vermilus, Esaie Vermilus, Rosemarie Sweet <br /> ""Important1* 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 /> th6 event. 04/16/2025 <br /> 14. Completed by: Owner <br /> L-sWatureV Title Date <br /> {-I 5-20 Gal- <br /> Health Permit J Hand wash Waler <br /> Sfemo wlGhaffng <br /> Gish <br /> Paper Hand Tovels <br /> Soap tlispercer <br /> C�:sng Board Samher burAel- <br /> bkach L water f or <br /> Propane Stove Bleach storing vapag cloths <br /> _[ Booth must be on <br /> 0 Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> 1'ropanc Tank <br /> Soap and Water Rhx Walor Bleach and Water Garbage <br /> Can <br /> Fare EtNrgushef <br /> ExVa <br /> water <br /> rice Cooler r-- --� Seal KWC9 wh <br /> 9c1ra ke Bags G load CoMe:ners "be Wanewaler Container <br /> sl=r 6 Inches offal Ilia grwW? <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.corn <br /> EHO 1"2 Page 9 0111 TFMP EVENTAPP <br /> 0713/17 <br />