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SN JOQQUIN Environmental Health Department <br /> COU NTY— <br /> Grcarness grows heri,. <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 o <br /> Z Other(specify) W <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 1000F(Le. 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 respo sib a 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 /> prep ration and opewition. Return original to festival coordinator three weeks prior to <br /> thi eu t. <br /> 14. Completed by: <br /> Signature Title Date <br /> 5-217 Gal <br /> Hand wash Water <br /> Health Permit Stem wfrhaffinq <br /> Man Paper Hand Towela <br /> Soap dispenser <br /> Sani <br /> zer <br /> CrAhrp Bnartl bucket- <br /> bleach �for <br /> olonng M cn <br /> ping dnn <br /> Sfeach <br /> Propafte Stove <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> --- <br /> Soap and Water Rinse We ter Bleach and Wale' Garbage <br /> Can <br /> Fire Extinpts5har <br /> Extra <br /> water <br /> =Cooler 5Gat Hand wash <br /> Extra Ice Bags d FW Gdnta!ners must be wastewater Container <br /> stared 5Inches orror the ground! <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 l F 209 464-0138 1 www.sjgov.orglehd <br /> EHa 1"2 Page 8 of 11 TEMP EVENT APP <br /> 07/01'2024 <br />