Laserfiche WebLink
SA N ! OAQ U I N Environmental Health Department <br /> COUNTY <br /> Grfatness grows here. <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45°F (if food is used the following da maintain below 41°F temperature): <br /> e chests [Refrigerator <br /> Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. eap roviding the following items within my booth for the sanitary cleaning of food preparation utensil <br /> ree compartment sink. <br /> OR <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 /> 12. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> :Water <br /> 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 /> 13. Names o!jesponsible persons to be presentl,in booth during all hoursof operation: <br /> (t� m; I Car m 1� <br /> ""ImportantV'* 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. Retum original to festival coordinator three w92ks iorlor to <br /> this event. ` <br /> 14. Completed by; Even- rC'0yc+fi '4' 6 17 2.s` <br /> Signature Title Date <br /> s-20 cal. <br /> Hand we water <br /> Health Permit Stemowtchafting <br /> Dish. Paper Hand Towels <br /> Soap dispenser <br /> sm:i 111r buck8ft- <br /> Cutting Board bleach a water for <br /> storing wiping rJo[hs <br /> Bleacfi <br /> Propene Store <br /> L <br /> oth must be on <br /> ncrete,Asphalt, <br /> wood,or a Tarp. <br /> Propane Tank <br /> Soap and Water Rinse Water Bleuch and Water Garbage <br /> Can <br /> Fire Extinguisher <br /> Wafer <br /> �Ce ter 5 Gal Handwash <br /> Wastewater Conlainar <br /> _ Fxtre Ica Baps S Food Containers must be <br /> stored 6 inches off of the ground' <br /> 1868 E. Hazelton Avenue { Stockton, California 95205 I T 209 468-3420 F 209 464-0138 www.sjgovPo�Nhd <br /> EHD 1M2 Page a of 11 <br /> 07f0112024 <br />