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R EC-008 <br /> S A N J Q A Q U I N Environmental Health Department <br /> �•` COUNTY <br /> r All <br /> Grearness grows hen <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 OF temperature): <br /> ❑ Ice chests ❑ Refrigerator <br /> U Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. l 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 /> Benjamin Colorado <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. owner 05-26-2026 <br /> 14. Completed by: <br /> 'IN yi'Alli1 C Title Date <br /> -- -,_ 5 20 Gal. <br /> Health Permit Hand wash water <br /> Slerrw w:rChalfmg <br /> DO Paper Hand Towels <br /> Soap dispenser <br /> Cuuu,q Board Sand rzer buckel- <br /> bteach a.water tar <br /> Propana Slave <br /> Bleach stonrry wpng I <br /> Booth must be on <br /> Concrete.Asphalt. <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Spap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fre E.I:npu,shar <br /> Extra <br /> Watar <br /> �Ce Cooler 5Gal Hand wash <br /> EAfra Ice Hags&Food Containers rnust he Waslewaler Conlamer <br /> sword 6 rrsches o!!at the grand' <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjgov.org;ehd <br /> Elie 16 02 Page 8 of I I TEMP EVENT APP <br /> 06,19'19 <br />