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SAN1 OAQU N Environmental Health Department <br /> COUNTY <br /> �LrF�nei�PJ l}rn7tn^cc ^rnP.•5 �;u'a <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 day, maintain below 41°F temperature): <br /> ❑ Ice chests efrigerator <br /> ❑ Refrigerated truck Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. �providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> hree 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 /> S4Qne separate tub(bucket or basin) for the collection of rinse/wastewater. <br /> %Aaper towels and pump-style soap container. <br /> 13, Names of responsible p rsons to be present in booth during all hours of operation: <br /> stela Acosta Cesar amaral <br /> *"Important" All food vendor booths a subject to inspection. Please make a copy of this application in <br /> preparation for is even A copy of thi checklist must be in the booth at all hours of <br /> preparation an eratio Return festival coordinator three eeks rior to <br /> �s ev t. <br /> 14. Completed by <br /> Sig at a Title Da e <br /> 5-20 Gal <br /> Health Permit wtC Star Hand wash water <br /> rto haff�ng <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board Sanitfzer bucket- <br /> bieach Swater for <br /> Propane Stove Bleach storing wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt. <br /> Plywood, or a Tarp. <br /> Propane Tank -- <br /> Soap and Weter Rinse Weler Bleach and Water Garbage <br /> Can <br /> '- Fire Extingwsher <br /> _ Extra <br /> -. Wafer <br /> Ice Cooler 5 Gal Hand wash <br /> Extra Ice Bags&Food Containers must be Wastewater Container <br /> stored 6 inches off of the grounds P 1--� <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> END 16-02 Page 8 of 11 TEMP EVENT APP <br /> 07/01/2024 <br />