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SAN 10AQU 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 /> 45eF(if food is used the following day, maintain below 41 OF temperature): <br /> Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck J'fce 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 /> Q 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 /> 0 Detergent, bleach, and wiping cloths(cleaning towels). <br /> E�'Tfub 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 /> K Water supply dispenser with warm water at a minimum of 100eF (i.e. 5-20 gallon container with spigot). <br /> J2 One separate tub(bucket or basin)for the collection of rinsetwastewater. <br /> U'Paper towels and pump-style soap container. <br /> 13. Na es of responsib a persons to be present in booth during all hours of operation: <br /> 6G <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 evept. <br /> 14. Completed by: 2-5 <br /> SignAu ii Title bate <br /> 5-2D Gal. <br /> Health Permit Hand wash Water <br /> Starno wlChafting <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenserCutting Board Sanilixer bucket- <br /> bleech S wa4er frr <br /> Propane Stove <br /> Bleach storing wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> V;. Plywood, or a Tarp. <br /> Propane Tank <br /> Soap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fire Fartrnpuisher <br /> Extra <br /> water <br /> Ice Cooler a 5Gal Hand wash <br /> Extra Ice Hags 8 Food Containers must be wastewater Container <br /> stored B inches off of the ground! <br /> 1868 E. Hazeiton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> END 16-02 Page 8 of 11 TEMP EVENT APP <br /> 07101/2025 <br />