Laserfiche WebLink
Environmental Health Department <br />ness <br />10. <br />11. <br />OR <br />12. <br />K 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/wastewater. <br />XJ Paper towels and pump-style soap container. <br />13. <br />“Important** <br />14.Completed by: <br />nature <br />Paper Hand Towels <br />Soap dispenser <br />Cutting Board <br />BleachPropane Stove <br />Propane Tank <br />Bleach and Water <br />Fire Extinguishere <br />Ice Cooler <br />Soap and Water Rinse Water <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <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 X) Refrigerator <br /> Refrigerated truck Ice bath and tubs <br /> Other (specify) <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br />0 Three compartment sink. <br />Sterno w/Chaffing <br />Dish <br />A copy of this checklist must be in the booth at all hours of <br />Operation J Return original to festival coordinator three weeks prior to <br />Extra <br />Water <br />5 Gal Hand wash <br />Wastewater Container <br />Garbage <br />Can <br />Sanitizer bucket- <br />bleach & water for <br />storing wiping doths <br /> Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <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 />H Detergent, bleach, and wiping cloths (cleaning towels). <br /> Tub to store wiping cloths in bleach solution. <br />5-20 Gal. <br />Hand wash Water <br />Extra Ice Bags & Food Containers must be I <br />stored 6 inches off of the ground! ; <br />All food vendor booths are subject to inspection. Please make a copy of this application in <br />preparation for thij <br />preparation am <br />this event. / <br />| Health Permit | <br />Owner <br />Title <br />10/18/2023 <br />Date <br />Names of responsible persons to be present in booth during all hours of operation: <br />Armando Carvajal, Maria Castillo, Alejandro Kandalaft <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420] F 209 464-0138 | www.sjgov.org/ehd <br />EHD 16-02 Page 8 of 11 TEMP EVENT APP <br />06/29/2023 <br />SANJOAOUIN <br />-COUNTY— <br />Grcotness grows here