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10. <br />11. <br />OR <br />12. <br />but separate from utensil wash within my <br />13. <br />14. <br />Culture Title <br />Papor Hand Towels <br />Cutting Board 3Propane Stove <br />I aPropane Tank <br />Rinse Water Bleach and Water <br />Fire Extinguisher <br />J <br />nA Hazelton Avenue I stockton. California 95205 I T 209 468-3420 | F 209 464-0138 I www.sjgov.orq/ehd <br />Page 8 of 1! TEMP EVENT AlTEMP EVENT APP07/01/2024 <br />LT ------— ;---- <br />Extra Ice Bags & Food Containers must be <br />stored 6 inches off of the ground! <br />5 Gal Hand wash <br />Wastewater Container <br />Garbage <br />Can <br />Sanitizer bucket­ <br />bleach & water for <br />storing wiping cloths <br />Stemo w/Chaffing <br />Dish <br />5-20 Gal. <br />Hand wash Water <br />Extra <br />Water <br />SAN JOAQUIN <br />------COUNTV <br />□zH? po,entiaiiy hazardous fo°ds bei°w <br />^Refrigerated truck Otee bath and tubs <br />*□ Other (specify) <br />Environmental Health Department <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />Health Permit J <br />i <br />Soap and Water <br />Ice Cooler i <br />□ 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 rinse/wastewaier^-^0 <br />EJ Paper towels and pump-style soap container j* —» ’V? cV <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 opejatiqm. Return original to festival coordinator three weeks prior to <br />Completed by:__QM _ffifaWlT.10V7 <br />Date <br />“P> “'» CK. »-=; ((j V. <br />LJ Detergent, bleach, and wiping cloths (cleaning towels). *71 ■ * * ’ <br />LJ rub to store wiping cloths in bleach solution. <br />bootfi.Pr0Vldins 1116 following for adequate hand washing facilities,