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R EC-008 <br /> SAN JOAOUIN Environmental Health Department <br /> 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 E;k 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 /> 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 puma-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Aaryn jones <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. °w°°""s Owner 05-22-2026 <br /> 14. Completed by: ��- <br /> .3IVIIaLU9C " Title Date <br /> 5-20 Gal. <br /> Health Permit Hand wash Water <br /> Sterna w;Clsal Gr}g <br /> DO Paper Hand Towels <br /> Soap dispenser <br /> GUtW7p 6aard Sanilizerbuckel- <br /> It"8 water For <br /> Propane Stove <br /> Blench slarfng wiping cloths <br /> Booth must be on <br /> Concrete.Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Suap and Water Rinse Weter Bleach and Water Garbage <br /> Can <br /> Fie Exhopuisher <br /> ExVa <br /> Water <br /> i <br /> FIceCooler 5 Gal Hand wash <br /> Extra keBags if Food Contaners must be Wastewater Container <br /> stored 6 rix fres off of the gmrxi! <br /> 1868 F. Hazeiton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHO 16,02 Page 8 of 11 TEMP EVENT APP <br /> te13!19 <br />