Laserfiche WebLink
SALJOAQUIN Environmental Health Department <br /> —COUNTY— <br /> Gra4?Hess hcre, <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 clay,maintain below 41°F temperature): <br /> ❑ice chests ❑Refrigerator <br /> ❑Refrigerated truck ❑Ice bath and tubs <br /> ❑Other(specify) <br /> 11. I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> ❑Three compartment sink- <br /> 0 R <br /> ❑Three deep tubs (basins 6 8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> stiofution(one tablespoon of bleach per gallon of water). <br /> 0 Detergent,bleach,and wiping clothes(cfeaning 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 /> ❑Water supply dispenser with warm water at a minimum of 1007(i.e.5 20 gaAon container with spigot). <br /> ❑One separate tub(bucket or basin)for the collection of rinselwastewater_ <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 /> ftMW dNYA�r�cd m'xra <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 event <br /> 14. Completed by._ � 11121�/ <br /> SL'h na Title D; e <br /> #Health Permit Nandwasttwai.r <br /> slema,vlCh�'ting <br /> :n <br /> Prr,-c}rend7araLs <br /> Soap dc5�en�er <br /> U1lI'ur36oasa ...-_.r Serwaer6+sioc� <br /> Di¢ech&vrala.'or <br /> Pmpax Stave getracl, atcdng Yfl9W cWhi <br /> ecolh must be on <br /> Concrete,Asphaf4 <br /> Plywood,or a Tarp. <br /> /.� <br /> Pnvma Tank <br /> - soap Md Watar MM 4Nxer Bleach and Water Garbage <br /> Can <br /> - Fare P.cunQ.+istter <br /> e� <br /> Weer <br /> Ice Cooler SGsFH.nd�wan —I <br /> i�CmheaagsdrroarJ�+^'•"+�^muslbe wnssw+alerConaMer <br /> -- =lOn°d 6ltKJ7a5 airoffhc eppWfd! <br /> 1868 E.Hazelton Avenue I Stockton,Califamia 95205 I T 209 468-3420 1 F 202 464-0138 1 www.sjcehd_cem <br /> Ekp 16-02 gaga 8 of 11 TAP EVENT APR <br /> WfU17 <br />