Laserfiche WebLink
c' <br /> SA N ' 10 A 0 U 1 N Environmental Health Department <br /> Cour'J-ry <br /> t0. I am providing the fofk)WkV Cold tomperature control for th©cold ho"of potentiatly hazardous loods below <br /> 45'F(if food is usttd aho foliorafng day,rrtnintain glow 41*F lnrrrpe alure): <br /> 03 toe Chests ❑Refrigerator <br /> "Rotligerated truck ❑lion bath and tugs <br /> W othet.(sP9,chry1::—. <br /> it- I am providing the following items within my booth for the sanitary cleaning of loud preparation utensil <br /> OR ❑Three compartment sink. <br /> ® Three veep tubs (basins 6-8 Inches minimum), one for soapy water, one for rinsing and one lot a bleach <br /> solution(one tablespoon of bleach per gallon of water). <br /> IsDetergent,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 fadli ies, but separate from utensil wash within my <br /> booth: <br /> M Water supply dispenser with warm water at a minimum of 100°F(i.e.5-20 gallon container with spigot). <br /> K One separate tub(bucket or basin)for the eollectlon of rinse/wastewater. <br /> qM Paper towels and pump-style soap container. <br /> 13. Names of responsW persons to bppresent in booth during all hours of operation: <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 checkfast must be in the booth at all hours of <br /> preparation and operation. Return original to festival coordinator three weeks orlior to <br /> thi event. <br /> 14. Completed by. i` <br /> Signature Title I dake <br /> Sm ore. <br /> Health Permit HWWwes WMW <br /> sue+ <br /> om <br /> Paper"r+e Iaw+n <br /> saga <br /> cuwg <br /> BOW sanm+a &M, <br /> thech s+bw to <br /> ►��.srw. <br /> eMac+� w0%dod% <br /> Booth must be on <br /> Concrete.i� <br /> t�tywood,or a Tarp. <br /> P-P—Sank <br /> �aM and Wets Riwa arar 8M*h and Wank Garbage <br /> Can <br /> Faa EAMJS sw <br /> 5 Gar"Md wash <br /> War+Wow c vmw <br /> ypr�.16 r�odas d'd�Qrar+R-` <br /> iM8 E. Hazelto>I Average Stockton. Cali�ornia 952051T 2Q9 488-3420 F 209 464-QS38 y www. <br /> Payee 6 d 11 <br /> EhD 16 M <br />