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Environmental Health Department <br />10. <br />11. <br />OR <br />12. <br />ature Title <br />Popor Hand Towsis <br />“<1 <br />5-20 Gal. <br />Hand wash Water <br />inafll hours of operation: <br />rloi'tK___________ <br />a <br />T'ffi <br />i® <br />~v r——---------------- <br />Sanitizer tiucket- <br />bloach 8 waler for <br />slonnawipino cloths <br /> Booth must be on <br /> Concrete, Asphalt, <br />Plywood, or a Tarp. <br />O^^hnndWs’.X I II f-2- <br />. ■ <br />| RfrisuiVg’rr"7 ' <br />L <br />C -tT . <br />- <br />14. <br />SANJOAQUIN <br />------COUNTY— <br />Cneatness grows here. <br />1 ^To?0^?109 the followin9 co,d 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 />®lce chests Refrigerator <br /> Refrigerated truck g’jce bath and tubs <br /> Other (specify) <br />— <br />S0£p d s, <br />■ <br />B'naol, . <br />are subject to inspection. Please make a copy of this application in <br />x • - . . --- ----------—1 <n the booth at all hours of <br />Sglurn original to festival coordinator three weeks prior to <br /> <br />Date <br />Garbage <br />Can <br />lam providing the following items within my booth for the sanitary cleaning of food preparation utensil <br />SJiTn hS1® (basi?t6'8 jnches "linimurn>' ons for “apy water, one for rinsing and one for a bleach <br />solution (one tablespoon of bleach per gallon of water). <br />L J Detergent, bleach, and wiping cloths (cleaning towels). <br /> Tub to store wiping cloths in bleach solution. <br />boaonthPr°ViTn? fhe fo"°wins for adequate hand washin9 facilities, but separate from utensil wash within my <br />53 Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br />S'One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />® Paper towels and pump-style soap container. <br />13. N^^^ponsiUe^rsQns to be presents booth^durin <br />' ■; _•. All food vendor booths ; ~ ~ ~ <br />preparation for this event. A copy of this checklist must be <br /> <br />1 <br />77F - - ' i 1 <br />ea <br />7 .-ifiit-’. _ ..... <br />-1- n <br />, .feasJ i <br />. '“71 f„ i ! <br />“A ' <br />r S' .j <br />-------Zl- <br />Ice Cooler 3 pBMvhmmhnmhmmil. <br />----------P <br />. ............... • _.»■-■ .... I <br />1868 E Hazelton Avenue j Stockton, California 05206 J T 2Q9AWSfti <br />SSSa Pagoaoni j