Laserfiche WebLink
°" =�= SANS <br /> � � <br /> JdAQUIN Environmental Health Department <br /> �7t�W.'.7� COUNTY <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45OF(if food is used the following day, maintain below 41°F temperature): <br /> ❑ Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> ❑ Three 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 /> booth: <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 rinselwastewater. <br /> ® Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Carime Antunez <br /> *Important"* All food vendor booths are subject to inspection. Please make a copy of this application in <br /> preparation for thi A copy of this checklist must be in the booth at all hours of <br /> preparation an peration Return original to festival coordinator three weeks Rrior to <br /> this event. <br /> 14. Completed by: leffl Owner 6/17/2025 <br /> gnature Title Date <br /> 5-20 Gal <br /> Health Permit Stereo wlCha Hand wash Water <br /> P ffing <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutling Board Sanihzerbuckel- <br /> blearh 8 water for <br /> Propane Slove <br /> Bleach storing wiping Goths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood, or a Tarp. <br /> Propene <br /> Soap and Water Rinse Waler Bleach antl Waler Garbage <br /> Can <br /> Fire Extinguisher <br /> Extra <br /> Water <br /> lce Cooler 5 Gal Hand wash <br /> Extra ice Bags&Food Containers must be Wastewater Container <br /> --- stored 6 inches off of the groundr <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www,sjgov.org/ehd <br /> EHID 16-02 Page 8 of 11 TEMP EVENT APP <br /> 07101/2024 <br />