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Environmental ’ !e epartni itt <br />10. <br />11.utensil <br />OR <br />a ■ ' one for a ble?'h <br />12.’’ wash within my <br />• with spigot). <br />0 One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />0 Paper towels and pump-style soap container. <br />13. <br />Title <br />14. <br />Health Permit <br />Pepcr Hontl <br />So»p diSpenMt <br />Cutting Bo^rd <br />BleachPtopene Stove <br />Fire Extinguisher <br />Ice Cooler i <br />I am providing the following for adequate hand washing facilities, but separate from 1 <br />booth: <br />I am providing the following cold temperature control for the cold holding of potentially f az. dous foods behw <br />45°F (if food is used the following day, maintain below 41OF temperature): <br /> Ice chests Refrigerator <br /> Refrigerated truck Ice bath and tubs <br /> Other (specify)_____________________ <br />Stemo w/Chafling <br />Dish <br />Ertra <br />Waler <br />c .his applicatio; , in <br />h at all hours ,f <br />■ i ? weeks prior to <br />Names of responsible persons to be present in booth during all hours of operation: <br />Veronica Sillivan <br />Sanitizer burl -t- <br />bleach & wnler for <br />Storing wiping is <br />5 Gal Hand wash <br />Waste waler Container <br />5 20 Gal. <br />Ha-.J wash w-i-r <br />- ^ge <br />Oi <br />SAN JOAQUIN <br />COUNTY <br />Propane Tank <br />----------------------------3 <br />^7 <br />___L <br />Soap and Waler Rinse Waler <br />0 Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon con' <br />>te <br />All food vendor booths are subject to inspection. Please make a c <br />preparation for this event. A copy of this checklist must be in tl <br />preparation and operation. Kfitum original to festival coordinate. <br />thiy event. /Sy k V <br />Completed bv:L^/ujC? J <br />* Signature-^ <br />“Important** <br />0 Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsii <br />solution (one tablespoon of bleach per gallon of water). <br />S Detergent, bleach, and wiping cloths (cleaning towels). <br />EJ Tub to store wiping cloths in bleach solution. <br />I am providing the following items within my booth for the sanitary cleaning of food prepar <br /> Three compartment sink. <br />MM <br />Booth m> be on <br />Concrete, ' sphalt, <br />Plywooc' 3 Tarp- <br />Erlra Ice Bagt i rcod Containers must be <br />stored 6 inches off of the ground! <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420) F 209 464-0138 1 w.sjgov.org.'t- <br />EHO 16-02 Page 8 of 11 TEMP EVE.. PP <br />07/01/2024