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R EC-008 <br /> S A N J N A Q IJ I N Environmental Health Department <br /> Llf'',: COUNTY <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) <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> 5 Three compartment sink. <br /> OR <br /> Three deep tubs (basins 6-8 inches min}mum), 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 /> Janaina Gonsalves <br /> Alexia Lopez <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. s� <br /> Jana's Burgers 04-18-2026 <br /> 14. Completed by: <br /> Title Date <br /> zo Gal <br /> Health Permit kl "�,�"asti wet°r <br /> Sterna w Chaflmg <br /> EhSh <br /> Paper Hand Towels <br /> Soap dispenser - <br /> Cul hnq Board aanili¢ar buckel- <br /> hleadt&water for <br /> Propane S[ove bleach star ig wlmg dolhs <br /> 800lh must be on <br /> O Concoorete.Asphalt. <br /> Plywd.or a Tarp. <br /> Propane Tank <br /> Soapand Water flinse Water Beach and Water Garbage <br /> Can <br /> Fre Erlwpwsher <br /> EIra <br /> Y73er <br /> Ice Cooler I S Gal Ha id wash <br /> Extra k'e Hays&Food COntaners rrnrsl be Wa5leweier Container <br /> 5rorw 6 inches Off Of the ground' <br /> 1868 E. Hazellon Avenue 1 Stockton, California 95205 1 T 209 468-3420 I F 209 464-0138 1 www.sjgov.org:ehd <br /> EH7 16-02 Page 8 al 1 1 TEMP EVENT APP <br /> M.19i19 <br />