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SA N J O A Q U I N Environmental Health Department <br /> COUNTY <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 /> 21ce chests ❑ Refrigerator <br /> ❑ Refrigerated truck Q Ice bath and tubs <br /> ❑ Other(specify) <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 <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 /> Q'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 100OF (i.e. 5-20 gallon container with spigot). <br /> {2One separate tub(bucket or basin) for the collection of rinse/wastewater. <br /> CT Paper towels and pump-style soap container. <br /> 13. Names of respqnsible persons t be present in booth du rig all hours of operation: <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: <br /> Signature Title Date <br /> _- --.:-.-r-= - 5-20 Gal. <br /> Health Permit t, Hand wash Water <br /> Sterna wlCheffing <br /> Dish Paper Hand Towels <br /> SoaA dspensar <br /> Cutting Board Sanihzer burkal- <br /> bfeach B waler for <br /> storing wiping cloths <br /> Propane Slave Bleach <br /> Booth must be on <br /> O Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Soap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fire Extinpu15her <br /> Extra <br /> Waler <br /> ice Cooler 5 Gal Hand-ash <br /> Extra!ce Bags 8 Food Containers muss be Wastewater Contamar <br /> stored 6 inches oft of the groundf <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.orglehd <br /> EHO 16-02 Page 8 of 11 TEMP EVENT APP <br /> 07/01/2025 <br />