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R EC-008 <br /> S A N J O A Q U I N Environmental Health Department <br /> --COUN—Y <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 /> U Ice chests U Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> U Other(specify)freezer <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 6-6 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 /> U Water supply dispenser with warm water at a minimum of 1000F(i.e. 5-20 gallon container with spigot). <br /> ❑ One separate tub (bucket or basin) for the collection of rinse/wastewater. <br /> U Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Jill Ryan, Juan Macias <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 /> this event. Co-Owner 04-17-2026 <br /> 14. Completed by: r.Zq'�P"a't ate <br /> yine��liCx�" ""� - Title Date <br /> 5-20 Gal. <br /> Health Permit Hand washWaler <br /> sterna w:Chalfing <br /> Dish Paper Hand Towels <br /> Scrap dispenser <br /> Cuflina 13aard sanilixer buckel- <br /> bleach 3 waler for <br /> Propane Slnve <br /> eieach staring wiping ddhs <br /> Booth must be on <br /> AV Concrete,Asphalt. <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Soap and Water Imse Watcr Reach and Water Garbage <br /> Can <br /> Fro FXtinguisher <br /> EKira <br /> water <br /> Ice Cooler I 5 Gal Hand wash <br /> — s Fxtra ke Bags S Fogd Conlaners rnusf be Waslewaler Cantainer <br /> stored 6iwNes ON of the ground+ <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sigov.org/ehd <br /> Elio 15-02 Page a of 11 TEMP EVENT APP <br /> 06119/19 <br />