Laserfiche WebLink
10 <br />11 <br />OR <br />12. <br />13. <br />•‘Important** <br />i <br />Completed by:14. <br />Paper Hand Towel*PHealth Permit <br />Boa"*Bleach <br />I Propa"" Hl"*" <br />7 <br />anrl '^atwPropane 1 <br />6o«P and Waler <br />r He I «1>'X|LH*tair <br />L <br />California 95205 |Stockton. <br />ItU-re ‘aVi-1 <br />StoiTiO w/CfMMinQ <br />D«»h <br />Garbage <br />Can <br />5 Gal Hand wa*h <br />Waslewaler Container <br />Booth must be on <br />Concrete. Asphalt. <br />Plywood, or a I atp <br />SaniltMr bock"1 <br />blearh 4 water tor <br />tlonng wrpmfl doth* <br />■'IT 209 468-3420 | F <br />Pag» 8 of 11 <br />SAN JOAQUIN <br />- COUNTY- <br />| Snap diMxmsnr <br />(Ice Cooler <br />I - -1 <br />Signature <br />qcQcQ^--________ <br />Title <br />. 5 20 Gai <br />-- I Hand wash Wotor <br />k <br />209 464-0138 I wwwsigovp^^ <br />* .nerw,. o<1 d0^>' <br /> Water supply dispenser wi <br />[^One separate tub (bucket or basi <br />n Paper towels and eump^tytesoap container. <br /><vdoVvJigA— <br />All food vendor booths are <br />preparation for t.-- <br />preparation <br />this event <br />1868 E Hazelton Avenue I <br />I HD 18-0* <br />O7.'01/202* <br />^^h^event. <br />Date <br />Environmental Health Department <br />, «»r=^s^s=,”e—”45-F (if food is used the following day. maintain below n <br /> lee chests 0 Refrigerator <br />□ Refrigerated truck andtUt>5 <br /> Other (specify)______ <br />Three compartment sink <br />n Three deep tubs (basins 6-8 inches minimum) one for soapy water, one <br />gS^'S^XXK-is) <br />, am providing the foUowmg for adequate hand washing facilities. <br />b°0,h: ,ilh Warm water at a minimum of 100T (i.e. 5-20 gallon container with spigot). <br />,in) for the collection of rinse/wastewater <br />for rinsing and one for a bleach