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10. <br /> <br />11. <br />OR <br />12. <br />O Water supply dispenser with warm water at a minimum of 100“F (i.e. 5-20 gallon container witn spigoi). <br /> One separate tub (bucket or basin) for the collection of rinse/wastewater. <br /> Paper towels and pump-style soap container. <br />13. <br />14. <br />Paper Hand Towels <br />Soap dispenser <br />Cutting Board <br />BleachPropane Stove <br />Propane Tank <br />Bleach and WaterRinse Water <br />Fire Extinguisher <br />Ice Cooler <br />TEMP EVENT APPPage 8 of 11 <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 />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />Extra <br />Waler <br />5 Gal Hand wash <br />Waslewater Container <br />Garbage <br />Can <br />Sanitizer bucket­ <br />bleach & water lor <br />stonng wiping cloths <br />Booth must be on <br />Concrete. Asphalt, <br />Plywood, or a Tarp. <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 />0 Ice chests Refrigerator <br /> Refrigerated truck Ice bath and tubs <br />0 Other (specify) Yin, ice cheat U uaed. to hold prepackaged dmerU with, butlercreom froatinq to keep <br />them jr cm meUinq. <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> Three compartment sink. <br />Stemo w/Chaffng <br />Dish <br />.1 <br />5-20 Gal. <br />Hand wash Water <br />All food vendor booths are subject to inspection. Please make a copy of this application in <br />preparation for this event. <br />preparation and operation. Return original to festival coordinator three <br />this event. <br />Completed by: AAiclie^ OHau/L <br />Signature <br />i r—i r t <br />Exira Ice Bags & Food Containers must be I <br />stored 6 inches off of the ground! ! <br />1 <br />Soap and Water <br />^Important** <br />'Owner / Dperalor <br />Title <br />Names of responsible persons to be present in booth during all hours of operation: <br />'Michelle Cloud, Ieoh Slaton and fRyan‘Moody <br />A copy of this checklist must be in the booth at all hours of <br />ee weeks prior to <br />- V/> | <br />Date <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 A! <br />06/19/19 <br />[ Health Permit |