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10. <br />sanitary cleaning of food preparation utensil <br />12. <br />my <br />13. <br />14.Completed by: <br />Signati ■----------------■' •/ <br />f Health Permit |J <br />Paper Hand Towels <br />Propano Slova <br />Bleach and Water <br />I noted i <br />Garbage <br />Can <br />Sanliizorbucko!- <br />Woach & water for <br />storino wlptno c'otha <br />5 Gal Hand w»«h <br />Wnstowator Container <br />SAW JOAOUIH <br />'fi-/ <br /> <br />1 <br />.1 <br />eSd ?6.O2 Hai:elt<)n Avenue | Stockton, California 952051 <br />ruMaHa P"" <br />11 n Th™'^2 l,ems wi,hln >"y booth for the <br />OR <br /> Booth must bo on <br />Concrete, Asphalt, <br />/ Plywood, or a Tarp. <br />Cuttnn Board____ <br />til <br />EwircmwmW Department <br />| Propano Tank <br />Inches01118USeti th^0POtentla"y haZard°US f00dS bel0w <br />cechests q Refrigerator <br />i terated truck Ice bath and tubs <br />U Other (specify) <br /> oreoamtlon" tor ^°,hS a? 8“bJecl t0 ln8P0c«°"- make <br />preparation for this event. * ■ <br />preparation and oporation. <br />this event./? <br />J/ti0'" SUpP,y d'SpenSBr wl,h warm water at« "Wnum of 100-F (l.e. 5-20 gai(on container wilh spigot). <br />®T)ne separate tub (bucket or basin) for the collection of rinse/wastewater. <br />S^Paper towels and pump-stylo eoap container. <br /> Vista*h- <br />Paco 8 Of ?1°9 468'3420 I r 209 464-0138 | www.sjgov.org/ehd <br />8 TEMP EVENTAPP <br />fcHW ItO UOSO & Food Conloinerd muil bo <br />stored 6 Inchos off al the gmundl <br />StdmowfChafflna <br />i I -j <br />ZZti_____7 <br />Ice Cooler '• '■ <br />I ’■ <br /> Three compartment sink. <br />E°aPy Wa‘er' °n8 f°r « btsach <br />I amprovtdmg the folding for adequate bond „ashlng faculties, but separate from utensit wash „lthin <br />7 ti <br />Sosp and Waler <br />Hro ExUnpulaher j <br />Soap dlspenaor ti <br />A copy of this checklist of <br />Rgtorn original to festival coordinator three weeks prior to <br />----- <br />Title Date <br />• 0-2Q Gal. I <br />V- Hand wash Water <br />xc5a"houra o,°p0rate <br />•‘Important**