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• o <br /> .1 <br /> SAN JOAQUIN e r nv onmen#al Health e��� e�-�; <br /> 10. t am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> -15°F (if food is used the following day,maintain below 41'F temperature): <br /> =ice chests v Refrigerator <br /> Refrigerated truck ❑ ice bath and tubs <br /> Other(specify) <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> 7 Three compartment sink. <br /> OR <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. '. am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> Water supply dispenser with warn+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 rinsefwastewater. <br /> Paper towels and pump-style s_pap container. <br /> 13. fumes of responsi persons <br /> ��to be present in booth during all hours of opel atlon: <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 op anon. Return original to festival coordinator three weeks•prior-to <br /> is event. <br /> 14_ Completed by: <br /> '-7— 3 <br /> Signat re Title Date <br /> ssa cgs <br /> r I Nano wash Wnw <br /> Health Permit --7 <br /> Stems <br /> Dan. 1 I G'ac•HA.:iiM•E3 <br /> Snag da:4snaAdr -� <br /> r:in,na Soera SatuE du[k�l• <br /> hleaGh 3 uwtar fpr <br /> J S:G�fXj a.�'f j C1CR'17 <br /> 8oath must be on <br /> ` I � Concrete,Asphs;lf, <br /> P''v:voc: or a'arp <br /> �omm�=:Tank <br /> 5�caa and W 3M pin"Wste= Bleach aria Water 3aroage <br /> i mart E <br /> Ice Cooler sCa»Awash <br /> 1 <br /> . .,,. . :.., . .,• . . . . ,,: i weusx�terr.�nuu,er <br /> 1868 E. Hazeiton.Avenue ` Stockton, California 95205 1 T 209 468-3420 # F 209 464-0138 ; unuw.sjcehd.ccl,- <br /> EHU M-02 Page L of 11 TEMP EVEN F APP <br /> 07.'3,17 <br />