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SA N J O AQ S I N Environmental Health Department <br /> 10 1 am providing the iollowing cold temperature control for the cold hol&ng of potenlrall-j hazardous fccds belov; <br /> 45°F W food is used the tollovona day maintain berm-:41"F temperature <br /> ❑Ice chests XR <br /> eftigerator <br /> Refrigerated truck ElIce bath and tubs <br /> ❑Other(specify) <br /> 11, 1 a prowding the folloxino items within my booth for the sanilary cleaniro of food oreoaratrnn 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 bleacn <br /> solution(one tablespoon of bleach per gallon of water)_ <br /> ❑Detergent.bleach,and wiping cloths(cleaning travels) <br /> j ❑Tub to store wiping cloths in bleach solution <br /> i2. i a',11 FiG:Nd:� iiiC' iuuUrvifk3 rnr aae4i.a:e hai1G 1.tast,xq :fi:.1.fi.c5, u1:58¢8falc ii:]fil .,__..n. :.u5h -n....•. .r'.r . <br /> bmolh <br /> K'A"ater supply dispenser with warm water at a minimum of 100'F(i e.5-20 gallon contain&-vrth splgct). <br /> One separate tub(bucket or basin)for the collection of rinselwaslerralef?— <br /> a-ne'tftYalg�n-j nrrT•.n_rf;v{=;13•.r-nn�_i,s. <br /> 13_ N es of resp"nsi�'' persons to be preen in b`oot_h urmg al hours of operate n <br /> f it nY l.�>,.00nf� 1 LL C'I'• c <br /> "Important" All food vendor bcoths are subject to inspection Please make a copy of this application in <br /> preparation for this event A copy of this checklist must be m the booth at all Yours of <br /> oresararion and co—T-n Refurn oricilial to festival coordinator three weeks prior to <br /> 5 vent f / Q j 17,1 ZS <br /> 14. Completed b� / _ .-d L,)npr <br /> f6 nature Title Date <br /> Health Permd <br /> Lpac•IUY Tcw Ss <br /> CurTPvt _� 1.1 SzY-:aG-".r.. <br /> F.cp s+a S�rw Mach f '• .,•I�]��:'a <br /> � i r <br /> f F,:a,n frrJ:t bc:cn <br /> f r ! O Plyv cal.w a Ta;r <br /> Esf <br /> 11RIt <br /> FIceGaoler <br /> Ear,Ice sw+6 Fwd car"nn]caw oa •4i•...'•f'-"�T^`r l <br /> - smwY 6..%"drofft oft—wo J <br /> 1868 E.Hazelton Avenue E Slocictori,California 95205 i T 209 463-3420 i F 209 464-0138 i „Ww.sfcehd.com <br /> Eris 1"2 Page 6 a 11 TF.1P-EEt7 Air <br /> 07rW17 <br /> f� <br />