Laserfiche WebLink
a _ <br /> S A N J OA Q U E N Environmental Health Department <br /> c-0Ur.i7., . _-. <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 OF temperature): <br /> ® Ice chests [i Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> [] Other(specify)_ <br /> 11. I 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 /> t�Twater 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 /> ZI Paper towels and pump-style soap container. <br /> 13. Flames of responsible perso s to be present in booth during all hours of operation: <br /> "Important" 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 /> this vent. <br /> 14. Completed by: y �� <br /> _. � l�v Z <br /> ' St nature Title Date <br /> :o Ga3 <br /> Health Permit tiarnl nrau,walar <br /> Sierrw w/Chalhrp <br /> Doh <br /> raver NdMi Toweiy <br /> �•Iv dsyanr.er <br /> Sanmzer t,urkei <br /> binaU h walur tar <br /> i•nx„rnr$inw• Uli��ch ,Dung nwgng Gulps <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Prnpanr,Tank <br /> soap and Watel Rinse Walnr pivacti and Waler <br /> Garbage <br /> Fife Exlinoursher Can <br /> E.na <br /> Wafer <br /> Ice Cooler <br /> F5 Gnl Hond wash <br /> Ewa too flops 6 Food ConrarneM must ba We+rtawater Carlelner <br /> araod b rwho-i otl or Om grourW! <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 F 209 464-0138 EHD www.sjgay.org/ehd <br /> 1b-02 <br /> OW1311 24 Page 0 of 11 TEMP E VENT APP <br />