Laserfiche WebLink
Environmental Health Department <br />10. <br />11. <br />OR <br />for rinsing and one for a bleach <br />12. <br />13. <br />14.Completed by: <br />Signature <br />Health Permit <br />Paper Hand Towels <br />Propane Slovo <br />Propane Tank <br />Rinse Water <br />Ice Cooler <br />L <br />Sterno w/Chaffing <br />Dish <br />5 Gal Hand wash <br />Wastewater Container <br />Extra <br />Water <br />5-20 Gal. <br />Hand wash Water <br />Sanitizer buckot- <br />bleach & water tor <br />storing wiping cloths <br />Booth must be on <br />Concrete, Asphalt. <br />Plywood, or a Tarp. <br />Garbage <br />Can <br />All food vendor booths are <br />preparation for this event, <br />preparation and operation, <br />this eventrV? i <br />Important** <br />SANJOAQUIN <br />------COUNTY------- <br />yer’ Crccmeis grows here. <br />is hazardous foods betow <br />l±fCeChests Refrigerator <br /> Refrigerated truck Q lce bath and (ubs <br /> Other (specify) <br />lam providing the following itei <br /> Three compartment sink. <br />Extra Ico Bogs & Food Containers must bo <br />stored S inches off of the ground! <br />I Soap dlsponsor <br />Bleach and Water <br />___ <br />ms within my booth for the sanitary cleaning of food preparation utensil <br />^Tnh^96!'1, b,eaCh’ and W'ping C,oths (c,eaning towels). <br />^Tub to store wiping cloths in bleach solution. <br />lam providing the foliowing for adequate hand washing facilities, but separate from utensii wash within my <br />«bj t0 'nsPection. Please make a copy of this application in <br />A copy of this checklist must be in the booth at all hours of <br />zyum-QQflinal to festival coordinator three weeks prior to <br /> <br />Title Date <br />□ Water supply dispenser with warm water at a minimum of WOT (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 />Na^^7^nSibl^7°jtO be PreSent in b00th dunng 311 hours of operation: <br />Soap and Water <br />SHaZeltOnAVenUel Stockton, California 95205 I 7209 468-3420 | F 209 464-0138 | www.sjcehd.com <br />07/3/17 TEMP EVENT APR