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UN 10AQUIN Environmental c ou N T Y— ronmenta Health De <br /> par-tment <br /> iQ. I am providing <br /> 45°F(if food is used the followinolcold temperature control for the <br /> ❑Ice chests MM9 day, maintain below 4 i° cold holding of potentially harardaus foods <br /> F temperature}: <br /> ❑Refrigerated truck 0 Refrigerator below <br /> ❑Other(specify) Ice bath and tubs <br /> i !am providing the following items within my booth far the <br /> OR ❑Three compartment sink. <br /> Sanitary cleaning of food preparation utensil <br /> ❑ Three deep tubs <br /> Solution (basins 6-g inches(one tablespoon of bleach minimum) one for soapyper water, one for <br /> ❑Tub to store wipingnd wiping cloths(cleaning to tensing and one for a bleach <br /> cloths in bleach solution- g wets}. <br /> 72• lam providing the following for adequate hand w <br /> booth: <br /> asking facilities, but separate from utensil wash within m <br /> ❑Water supply dispenser with warm w y <br /> Ater at a minimum of i00°F <br /> ❑One separate tub (1-e.5-20 gallon container with spigot). <br /> (bucket or basin}for the collection of Of <br /> p g°t). <br /> ❑Paper towels and urn -st le soap container. <br /> 13. Names of responsible <br /> Per-sons to be present in booth during all hours of operation: <br /> "Important" All food vendorf Anne DaniCC <br /> booths are subject to ins <br /> PreParation for this pection. <br /> Preparation and event. q CO Please make a <br /> Aeration. Return y °f this checklist must be i °Opy of this a <br /> 14. Completed by: this <br /> eV~ or' ina! to festival c n the pplication in <br /> coordinator thoree at ail hours of <br /> ' 9 OWn weeks <br /> rior to <br /> r nature <br /> Hearth P J rare ermit Date <br /> 51emn r:Mha.7,ng <br /> 6:zh Fiantl�ash 4Va;er <br /> Cooing aoam <br /> Soap asPenser <br /> Propane 51ote Paper Hantl 7arCL- <br /> 81each SaniLrrr buck•[- <br /> d�CaT a Y aver Icr <br /> s;crng rdping rSnlhs <br /> Pmpane lank <br /> OBOOttI mGst be OR <br /> Concrete,Asphalt, <br /> Plywood,or a Taff <br /> 59ap aM waver ll <br /> Rinsa Water <br /> B;Cach ar,tl Warr <br /> Fir,Etungulsher <br /> Garbage <br /> Fz ra Can <br /> / Wa;er <br /> fce COOfer <br /> f c+lra Ire Bags 6 F <br /> .!a'ed 6lnches oY�Canfe:nen mus/ne'� 5 Gal Hzndwash <br /> rAe grarnd, 'tias:etralcr Canlaricr <br /> 1868 " Hazelton Avenue j Stockton, <br /> eyo 1s-o2 on, California 95205 <br /> g�rair7 1 T 209468-3420 F 209 464- <br /> Page a of 11 1 0 i 38 <br /> 1 www"sicehd.com <br /> TEr.Ip EVENT APP <br />