Laserfiche WebLink
SA N J OAQ U I N Environmental Health Department <br /> COUN-Y <br /> 10. I 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 IF temperature): <br /> ❑ice chests efrigerator <br /> ❑Refrigerated truck ❑Ice bath and tubs <br /> ❑Other(specify) <br /> 11. I am iding the following items within my booth for the sanitary cleaning of food preparation utensil <br /> hree 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 /> Q ater supply dispenser with warm water at a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> [E-,.Ol!ne separate tub(bucket or basin)forthe collection of rinse/wastewater. <br /> RP4per towels and pum style soap container. <br /> 13. Names of responsible persons to be pr sent in booth during all hours of operation: <br /> ' a -C <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. Retum art inal to festival coordinator three weeks prior to <br /> this even <br /> 14. Completed by: <br /> Signatur Title Date <br /> 5-20 Gal. <br /> Health Permit Hand-wash Water <br /> 6temv wlCheffing <br /> I <br /> Paper Hand Taeals <br /> Soap eispenaer <br /> Golfing Board <br /> Saniker waw- <br /> bleach&Water for <br /> Propane Stove Bleach storing wiping Goths <br /> Booth must be on <br /> O Concrete,Asphall, <br /> Plywood,or a Tarp. <br /> Propene Tank ' <br /> 1\ <br /> Soap and Water Rinse Water Bleach and Water Garbage <br /> Flre Extingoishar Can <br /> Extra <br /> Water <br /> Ice Co-ter <br /> B.:'"`.:'..:... .....'. 5 Gal Hand wash <br /> r Extra ice Bags a Food cdnrainers niusl be Wastewater Contelner <br /> oxor me mood! <br /> 1868 E. Hazeiton Avenue Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHD 16-02 Page 9 of 11 <br /> 06110/19 TEMP EVENT APP <br />