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Eriwonmental 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 />Names of responsible persons to be present in booth during all hours of operation: <br /> <br />13. <br />14.Completed by: <br />Health Permit <br />Paper Hand Towels <br />Soap dispenser <br />Cutting Board <br /> - — Bleach- ’ Propane Stove _ _ <br />Propane Tank <br />Bleach and Water <br />Fire Extinguisher <br />f <br />s. <br />Extra <br />Water <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 />5 Gal Hand wash— WastryAeter Container- <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, ora Tarp. <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 />StemovrfChaffing <br />Dish <br />Sanitizer bucket­ <br />bleach & vater for <br />storing roping <br />5-20 Gal. <br />Hand v/ash Water <br />Garbage <br />Can <br />bate ' <br />Beira IceBSgs S. Footl Cdhtain&sniust be ’ S <br />stonxl 6 inches off of the ground! ©. <br />£.-----------------------j <br />j Ice Cooler pg . <br />** Important** <br />SAN JOAQUIN <br />------COUNTY'— <br />G-eci'ness grows <br />I am providing the following cold temperature control for the cold holding of potentially hazandous foods below <br />45°F (if food is used the following day, maintain below 41 °F temperature): <br /> Ice chests Refrigerator <br /> Refrigerated truck ' Q Ice bath and tubs <br /> Other (specify)_______________ _______ <br />1868 E. Hazelton Avenue | Stockton, California 95205 [ T 209 468-3420 | F 209 464-0138 [ www.sjgov.org/ehd <br />EHD 16-02 Page 8 of 11 TEMP EVENT APP <br />05/19/19 <br /> <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 /> <br />Signature Title <br />I _»ar ..fra, ■ __ -n. /irTrrrTzr' • • <br />H Soap and Water Rinse Water