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SAN JOAQUIN J Hvifonniensnop.HtniGnt <br />10. <br />11. <br />OR <br />12. <br />13. <br />14. <br />Health Permit <br />Paper Hand Towels <br /> Soap dispenser <br />i <br />Bleach <br />Propane Tank <br />Bleach and Waler <br />Fire fixVnguisher <br />Ice Cooler <br />Ex/ra /co Bags & Focxl Conta<neis axisl be <br />staed 6 /echos off of the gtound' <br />Extra <br />Water <br />5 Gal Hand wash <br />Waslev«aler Container <br />5-20 Gal <br />Hand wash Water <br />Garbage <br />Can <br />Samt'zer bucket­ <br />bleach & water lor <br />storing wiping cloths <br />Booth must be or <br />Concrete. Asphalt <br />Plywood, ora Tarf <br />Stereo w/Chaffmg <br />Dish <br />Title <br />7 <br />Scap and Water Rinse Water <br />All food vendor booths are subject to inspection. Please make a copy of this application in <br />. •• •------ • A copy of (hjs check|jst musl be jn the b00(h at a|| hours of <br />an^operation^^Return original to festival coordinator three weeks prior to <br />Signature Title bate " <br />preparation for this event, <br />preparation an <br />this event.. <br />Completed by: <br />LJ 1 hree 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 />I am providing the following for adequate hand washing facilities, but separate from utensil wash within mv <br />booth: <br />kmi providing the following^ items within my booth for the sanitary cleaning of food preparation utensil <br />I 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 />1868 R. Hazelton Avenue | Stockton. California 95205 | T 209 468-3420 | F 209 4(34-0138 | www.sjcehd.com <br />^„17G‘02 Pago 8 of 11 TEMP EVENT APP <br />^^Iwatei 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/wastewater. <br />^Paper towels and pump-style soap container. <br />Narnes of responsible persons to be present in booth during all hours of operation' <br />______________________________ <br />** Im portant**