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R EC-008 <br /> S A N ! O A Q U I N Environmental Health Department <br /> C (DUNTY <br /> Greotof ss grows here. <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45°F(if food is used the following day, maintain below 41 of temperature): <br /> Ice chests Refrigerator <br /> ❑ Refrigerated truck Ice bath and tubs <br /> 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 6-8 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 /> 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 /> 14. Completed by: <br /> this event. <br /> Co-Owner 05-26-2026 <br /> r" <br /> Title Date <br /> �iyno4urc <br /> 5-20 Gal <br /> Health Permlt Hand wash Water <br /> Sterna w Chslhnq <br /> Dish <br /> Paper Hand Towel, <br /> Soap drsper—r <br /> CvW nq Board SdNhZerbwcket- <br /> bleadi d water for <br /> Slowly vwprny dcohs <br /> Propane Shove Bleach <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Pru pa ne Tank <br /> SoaA antl Water Rrnse Water <br /> &each and Wale, Garbage <br /> Fr <br /> Can <br /> ^_E+lisp u�slrer <br /> Extra <br /> Water <br /> Ice Cooler "— 5Gal Hand wash <br /> Extra Ice Hays&Food Conraners mu5{be Wastewater Container <br /> -- Stared E ruches off of rke ground! <br /> 1868 E. Hazelton Avenue I Slockton. Calilornia 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjgov.org;ehd <br /> EHp t6-02 Page B of 11 TEMP EVENT APP <br /> 06,19 19 <br />