Laserfiche WebLink
SQ N s-1 QQ Q U I N 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 /> Detergent, 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 /> epaper towels and pump-style soap container. <br /> 13. Names of responsible perso s to be present in booth during all hours o operation: <br /> P1tck+\ VLcl ) EUnariArh o � , _� ni�- �,, f�I .—th-4cJa <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. hh <br /> 14. Completed by: � lli 3 `r <br /> Sig ature Title Date <br /> 5.20 Gal <br /> Health Permit Hand wasn water <br /> stemo wlchaffing <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Curting Board Sanitrzar bucket- . <br /> bleach d water Far <br /> Propane Stove Bleach storing wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp <br /> .` <br /> Propane Tank • — - - ---- -- - -- <br /> Soap and Water Rinse water B[earh and Water <br /> Garbage <br /> Can <br /> Fire Extinguisher <br /> 2<fa-�i� _ Extra <br /> Ice Cooler 5 Gal Hand wasl <br /> Extra Ice Bags d Foov Containers muss t� Wastewater Container <br /> stored 6 encnes oNor the ground' <br /> 1868 E. Hazelton Avenue I Stockton, Califomia 95205 I T 209 468-3420 1 F 209 454-0138 1 www.sjgov.org/ehd <br /> rmn 1R1n9 Page 8 of 11 TEMP EVENT APP <br />