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Environmental Health Department <br />10. <br />11. <br />OR <br />1 <br />12. <br />I13. <br />“Important'i <br />i <br />14. <br />Til <br />Health Permit J <br />Wins Tcwj <br />Sojp oi>p«nt*r <br />CuapQBcird <br />Pro5Xn«5».« <br />Propm»T»n* <br />Soap and WaU«Rlnaa Wuto.Bleach and Wet« <br />I <br />Ice Cooler j <br />"Wsa>. <br />f Ue E*1 -.d-Jiha <br />I <br />Sterna wMhafr.no <br />Olah <br />Garbage <br />Can <br />5 Gd Hand wash <br />WaatawitarCcnurar <br />Booth must be on <br />Concrete. Asphalt. <br />Piywood, or a Tarp <br />$-10 Gal <br />Hand waah Watw <br />Sar.’azr- haekal- <br />B!«Kh & Ajar fcr <br />KOing wiping doffij <br />SAN JOAQUIN <br />COUN•v <br />o <br />All food vendor booths are <br />preparation for this event, <br />preparation and operation. <br />this event <br />Completed by; <br />one for rinsing and one for a bleach <br />2ZF po'on,ia,iy “us ,o<,ds b8i°* <br />L23s|ce chests q Refrigerator <br />□ Refrigerated truck Ice bath and tubs <br />U Other (specify) <br />iPiTnF~~ ■ <br />Eft luBtgiiFood Ccnfolnor, mat bi <br />Uona 6 nchu Mel ma gmuncH <br />^yr’2B"“nAV°nUe'1 209 468-3420 I F 209464-0138 | VAVw.5jgov.org/8hd <br />TEMP EVENT APF <br />subject to inspection. Please make a copy of this application in <br />A copy of this checklist must be in the booth at all hours of <br />evenL B^u.rn original festival coordinator three weeks prior to <br />Slg^fafe /Bate <br /> Threecompartm0enlsinkl,emSWlth'n my b°Othf°r,hesanilaryc,eanin9offo°dpreparation utensil <br />8 ~ k;.“X” “> -»■ <br />boothf 9 ,he fo,lowin9 for adequate hand washing facilities, but separate from utensil wash within my <br />□ Waler supply d.spenser with warm water at a minimum of 100°F (i.o. 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 />n b°°th li‘Jrin9 a"houre °f °peralion: <br />aiMch