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R EC-008 <br /> SA N J OAQ U I N 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 /> 45OF(if food is used the following day, maintain below 41 OF temperature): <br /> Ice chests [J 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 /> [Z�Three compartment sink. <br /> OR <br /> U 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 100eF(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 /> Alexia Lopez <br /> Vanessa Manzo <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. Jana`sBurgers 05-26-2026 <br /> 14. Completed by: <br /> W;WI Title Date <br /> I 5-20 Gal- <br /> tef <br /> Health Permit w:Chaf Storm Hand wash WaStormflop <br /> Dish Paper Hand Towels <br /> Soap dispenser <br /> CulGnp Board sanitize'bucket <br /> bleach&walar for <br /> Bleach slonng wiping ddhs <br /> Propane StOY[3 <br /> Booth must be on <br /> Concrete.Asphalt. <br /> - = Plywood,or a Tarp. <br /> Propane Took <br /> Soap and Water Rinse Wale, Reach and Water Garbage <br /> Can <br /> Fre Er.lrnpwsher <br /> ERtra <br /> Watcr <br /> Ice Cooler 5 Gal Her <br /> dwasl <br /> alra!ca Bags&Food Cantaners must be Waslewnler Container <br /> —— shored 6 inches oft of the ground! <br /> 1868 E. Hazelton Avenue j Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHD 16-02 Page a of 11 TEMP EVENT APP <br /> 061,19119 <br />