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R EC-008 <br /> S A N J O A Q U I N Environmental Health Department <br /> t„5+§ COUNTY— <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 450F (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 for us <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 <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 /> ❑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 /> Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Jayna Casey <br /> Bret Casey <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 /> 14. Completed by: <br /> this event_ w <br /> owner 04-03-2026 <br /> 'GaQ�7 <br /> Title Date <br /> 5-20 Gal. <br /> Health Permit Hand wash Wale, <br /> Sterne w.Chalhng <br /> Orsh <br /> Paper Nand Towels <br /> Soap dsvnnscr <br /> Culling Bc2rd Sanni¢er buCkel- <br /> bleach&water for <br /> Propane stove Bleach sloring wpurg cloths <br /> Booth rnust be on <br /> O Concrete.Asphalt. <br /> Plywood,or a Tarp. <br /> Prupane Tani <br /> Soap and Wafer Hulse Water Bleach and Vlaler Garbage <br /> Can <br /> Fro Eztuiguisher <br /> E><I[a <br /> Wafer <br /> Ice Cooler �� SGat Hand welsh <br /> Fafra ke Begs&Food Cpnrarlers rrrusi be Wasl..ler Cerflamer <br /> shred i inches off•f me ground' <br /> 1868 E. I-tazelton Avenue I Stockton. California 952051 T 209 468-3420 1 F 209 464-0138 f www.sjgov.orgehd <br /> EHD i6-42 Page 8 of 11 TEMP EVENT APP <br /> 06;19r 19 <br />