Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> 10 t 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 Refrigerator <br /> Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(specify) <br /> 11 1 am providing the following items within my bootie for the sanitary cleaning of food preparation utensil <br /> •P��f 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 /> 0 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 rinsetwastewater. <br /> Q Paper towels and pump-style soak container. <br /> 13 Names of responsible persons 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 /> preparab n and operation. Return original to festival coordinator twee weeks rior to <br /> this eve <br /> 14 Completed by <br /> Signature Title Date <br /> s�a ca <br /> Ilanf rrosn Watd <br /> Health Permit <br /> Uu+i pop.HWd 1-1 <br /> 51OIRIV wK.Wb�'{(�/y <br /> 111.rch <br /> ilf./K SIV.0 <br /> Eiooih must be rxi <br /> Cnruaste,�phati. <br /> rrwr»i�t <br /> S +n r.r wAL.. u..�l wwex MWWOa —dw..w,l Garbay0 <br /> Can <br /> r.r Eaarrv.w� <br /> vvw. <br /> Ice CoWe f <br /> (.vr km Bay.L I ow ckV*WWs mvf a. WOwMrols Gar�r�w <br /> ' aMwwd 0&x*MS uI d le.yravrt <br /> 1868 E Hazeiton Avenue I Stockton, California 95205 j T 209 468-3420 1 F 209 464-0138 1 www sigov.orglehd <br /> EHU 1"2 r'ngo a ul i 1 1EMP E1/E41 APP <br /> U7'IG 112U[4 <br />