Laserfiche WebLink
S A N _J OA O U IN Environmental Health Department <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 /> Ice chests ❑ Refrigerator <br /> Refrigerated truck ❑ 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 /> FDetergent, bleach. and wiping cloths (cleaning towels). <br /> 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 100°F (i.e. 5-20 gallon container with spigot). <br /> ❑ One separate tub (bucket or basin)for the collection of rinse/wastewater, <br /> Paper towels and pump-style soap container. <br /> 13. Names 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 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 eve t. <br /> 14, Completed by: Z� 2 <br /> Signature Title ate <br /> - 5.2C Gal. <br /> Health Permit S:erno Hand wasr•weter <br /> w.'ChaK^_= <br /> Gish <br /> PaOEr wane TOlYe3S <br /> Sari9zer ouCkat- <br /> bFaarh S water for <br /> Pracang StJvE Bleach Slanng w Ping Clolhs <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plvwooa, or a Tarp. <br /> arooarz`a a <br /> Garbage <br /> 5 <br /> Fire Extinpl:isner Can <br /> Extra <br /> Waver <br /> Ice Cooler 5 Gal Hare smt, <br /> E)tra.ca Says 6 FOea CCr:a ers"pus;ere Wastewwarcomakner <br /> Storer/6 inches afr of vie guard' <br /> 1868 E. Hazelton Avenue 1 Stockton California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHO 16-02 Pace 8 cf I i TEMP EVENT APP <br />