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SAN WON I--oviroolli ent•ll I lo;i1TIf Idepartment <br /> 1C, I any provIcrng the fcllawing cold temperature control for the cold holding of potential]/hazardous fords below <br /> 45"F(I feed is used the 1`0110%Vrng day.maintain below-' F temperature) <br /> Ice cbes;s Refriaerator <br /> Re'ligerated truck ❑Ice bath and tubs <br /> ._I Outer Is�•eclf}'} <br /> 17. I aryl providing the following items within my booth for the sanitary cleaning of food preparalrcn utensil <br /> T rae deep tubs lbaslns 6-8 inches minimum), one for soapy water, one for rinsing and one far a blench <br /> ,ut.on(one lablospcon of bleach per gallon of water), <br /> ❑Datergenl,blea--h,and taping cloths(cleaning towels). <br /> ❑Tub to store wiping cloths in bleach solution. <br /> i2 13m prodding the fotlo+:ing for adequate hand trashing facilities, but separate from utensil wash vithrn my <br /> booth. <br /> dilater supply drscenzer with t-arrn++rater at a minimum of 1001F(i e.5-20 gallon container with <br /> Gne separate tub(bucket or basin)for the collection of rinselwastewaler. <br /> "'Paper to.vets and ourro-stvle soap container. <br /> 1? Flames of responsible persons to be present in booth during all hours of operation: <br /> —Important— All food vendor booths are subject to inspection. Please make a copy of this applicat-:n ,n <br /> preparation for this event. A copy of this checklist must be in the booth at all here =` <br /> preparation and operation. Return original to festival coordinator three weeks prior to <br /> this emeaL <br /> 14. Completed bl _ Q��Y q I{ ii cZ,--) <br /> S aku Title Date <br /> S.-.,a C:I <br /> Haaith Permit Il wkai+�u : <br /> Sa:p ds!lM1ssr �^_ <br /> ` i � IQY�•11 1^ <br /> 4r. <br /> Fl;ua:;i craT.n;• <br /> Cxt <br /> ua:C3�ti <br /> Ice Cooler :iWlhnU J,:, <br /> Y...' As�;dlcwlCwtcncn rrrlu n+.w..r C:.uhr <br /> 1 ,5� Huellon Avenue I Stockton,Caldolnia 95205 j T 209 468.34-20 l F 209 464.0138 l ti��+nv slcelii com <br /> �•711 i =.. r•n�n a nr ti .E!,P[ti C'ri , , <br /> . rr. <br />