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S A N J a A Q U I N Environmental Health Department <br /> - . coura Y <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 /> J2-0ther(specify) 4. <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> ❑ Three compartment sink. <br /> OR / k-" ('1 f5 <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 /> ater supply dispenser with warm water at a minimum of I00°F (i.e. 5-20 gallon container with spigot). <br /> ❑ One separate tub(bucket or basin) for the collection of rinse/wastewater. <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 /> "Importall 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 /> pFF�� <br /> n original to festival coordinator three weeks prior to <br /> t14. Completed by: �zcr7,e-; <br /> Signature Title Date <br /> 5-20 Gal. <br /> Health Per Hand wash water <br /> Stemo wlChatting <br /> Dish <br /> Paper Hard Towels <br /> Soap dspenser <br /> Cueing$card 5aniozer bucket. <br /> bleach 8 veter for <br /> Propane Stove Bleach storing roping cloths <br /> L,th must be on <br /> O eteAsphalt, <br /> od,or a Tarp <br /> Froaane Tank <br /> at ISoap and Water Rinse 4'Jairr Bleach and Water Garbage <br /> Fire Extinguish!! Can <br /> Ext a <br /> Water <br /> Ice Cooler 5Gal Hand+ Sh <br /> Extra Ice Bags 6 Food Containers must be Wastewater Container <br /> stored 6 inches or-Y of the ground.! <br /> 1868 E. Hazelfon Avenue � Stockton, California 95205 1 T 209 468-3420 I F 209 464-0138 J www.sjgov.orglehd <br /> EHO 15-02 Page 8 of 11 07/01/2024 TEMP EVENT APP <br />