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SAN JOAQUIN Environmental Health Department <br />10. <br />11 within my booth for the sanitary cleaning of food preparation utensil <br />OH <br />12. <br />13 <br />“Important** <br />14.Completed by: <br />Sign^b <br />P Health Permil <br />I So»od«snonser ”"] <br />J Scop and waler Rins« Water <br />rroEM^quisher <br />J <br />3 <br />Garbage <br />Can <br />| www.sjgov.oig/ohd <br />TFMP PVfNr API1 <br />Son tiro' bucket, <br />btooch S water ‘o' <br />eloneg wp ng claim <br />18(58 Li. <br />CHD 1602 <br />OG/'fl/ig <br />Stkffio wA'hafft/»y <br />OlSh <br />f I'ropoie Tank <br />jliloieb and water <br />I’aper Hand Towoli ~] <br />5 Gal Hand wash I <br />Waslewaior Container I <br />f Ice Cooler <br />Hooth must De on 1 <br />Concrete. Asphalt, | <br />Plywood, or a Tarp <br />I Propane Stove <br />’SSH,“ —»—• • “■ ~ <br />chests Refrigerator <br />i Refrigerated truck Q (co ba(h and tubs <br />FT] Other (specify) <br />minimum of 100oF (i.e. 5-20 gallon container with spigot). <br />L»JOno separate tub (bucket or basin) for the collection of rinse/wastewater. <br />[H^aper towels and pump:style soap container. <br />Names of responsible persons to be present in booth during all hours of operation <br /> <br />__________ <br />All food vendor booths are <br />preparation for this event. <br />preparation and operation. <br />this ovpny - <br />subject to inspection. Please make a copy of this application in <br />threTw'eeks XJ <br />____I - 6 <br />Title - Date <br />ttiba fco Dog, t rood Con'j.no,, mull bt ! <br />stoted 6 Inchci oil of llv grovnli <br />nazclton Avenue | Stockton. California 95205 | T 209 468 3420 | F 209 464.0138 <br />Page u of 11 <br />I am providing the following items <br />I hree compartment sink <br />'°r 0"= I- a W8acb <br />i b,each. and wiping cloths (cleaning towels). <br />LI Tub to store wiping cloths in bleach solution <br />I ^providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />(tHA/ater supply dispenser with warm water at a