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Environmental Health Department <br />10. <br />11.• <br />OR <br />12. <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. <br />**lmportant** <br />14. <br />Date <br />Paper Hand Towels <br />Soap dispcnser <br />B.'eaciiPropane Sieve <br />I . . .CZLJ I . [u u ■ ■ ■rz < <br />Rinse Waler <br />Fire Extinguisher <br />Ice Cooler <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420) F 209 464-0138 | www.sicehd <br />EJ4D 16-02 Page s of 11 TEMP <br />07/3/17 <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> Three compartment sink. <br />Extra Ice Bags & Food Containers must be <br />stored 6 Inches olfoHhe ground! <br />Slemow/Chaffing <br />Dish <br />5 Gal Hand wash <br />Wastewater Conlainer <br />Extra <br />Waler <br />Garbage <br />Can <br />i.com <br />TEMP EVENTAPP <br />Boolh must be on <br />Concrete, Asphalt, <br />Plywood, ora Tarp. <br />5-20 Gal. <br />Hand wash Water <br />Sanllizer buckei- <br />blcach & waler for <br />storing wiping cloths <br />['/A., : - .•--■.'■xr.’.’j-...-.-. <br />Title ‘ <br />Soap and Waler <br />Propane Tank <br />SAN JOAQUIN <br />•I ------COUNTY------- <br />Gre>71 n e 55 g: ■?s h <'>. <br />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 °F temperature): <br /> Ice chests Refrigerator <br /> Refrigerated truck Ice bath and tubs <br />EZJ Other (specify) <br />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 />Completed by: KXXO/fX <br />Signature \ Title • ' Date ’ <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 />Names qf responsible persons to be present in booth during all hours of operation: <br />Bleach and Water | <br />Health Permit W