Laserfiche WebLink
'S <br /> SA N4.J 0AQ U I N Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> 10- 1 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) N/A PREPACKAGED ONLY <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> ❑Three compartment sink. <br /> OR NIA PREPACKAGED ONLY <br /> ❑ Three 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 /> 12- 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> ❑x Water supply dispenser with warm water at a minimum of 100OF(i_e. 5-20 gallon container with spigot). <br /> ❑X One separate tub(bucket or basin)for the collection of rinsetwastewater. <br /> ❑X Paper towels and puma-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> TRACY HOOD.TYLER HOOD <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 operation- Return original to festival coordinator three weeks prior to <br /> this event. <br /> 14. Completed by: �W-K- OWNER 1111212025 <br /> Title Date <br /> 5-20 611. <br /> Health Permit Hand wash water <br /> Sumo wtChx}ring <br /> Dish <br /> Paper Hand Towels <br /> Soap d"apersser <br /> Cog Board Sanifter buckel- <br /> bleaci 6 wa*r for <br /> Bleach rin stog+wiping dolts <br /> Propane Stove <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Fropane-tank <br /> Soap and Water Rinse l"la7•r Bleach and Water Garbage <br /> Can <br /> Fire Extinguisher <br /> Ex9ra <br /> � Water <br /> Ice Cooler DGal Hand h <br /> CErica toe gags a Fbod Cortamer must he Wastewater Carzbm- <br /> Gored 6 inches o ft of M+e ground! <br /> 1868 i=. Hazelton Avenue I Stockton,California 952051 T 209 468-3420 1 F 209 464-0138 ( www_sjgov_orgfehd <br /> FM 16-02 Page 8 of 1 i TEM?EVENT APP <br /> 06119/19 <br />