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R EC-008 <br /> SA N J DA Q U I N Environmental Health Department <br /> COUNTY <br /> Grewnoss grows here <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 /> ❑ Refrigerated truck Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. I 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 oumg-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Trevor Odom <br /> Aidan Larson <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. •���^�•�^� <br /> 14. Completed by: Owner 04-27-2026 <br /> Title Date <br /> I® 5-20 Gal. <br /> Health Permit Hand washWaler <br /> Sterna wrChalNrvp <br /> Dish Paper Hand Tawels <br /> Soap dispenser <br /> Cul6np Board Sanirizer bucket- <br /> bleach 5 water for <br /> Propane S[ove &each scoring Wping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane TaiSk <br /> Soap and Water Rurse Water &each and Water Garbage <br /> {�- Can <br /> Fre E.I,npu.shar <br /> Exaa <br /> Water <br /> i <br /> Ice Cooler 1 5 Gal Hand wash <br /> _ Extra tee Bags 6 Food Contarwrs ML41 De Wastewater container <br /> stored 6inches off of the groan& <br /> 1868 E. Hazeiton Avenue I Stockton, California 95205 1 T 209 468-3420 1 IF 209 464-0138 1 www.sjgov.org/ehd <br /> EHD 16,02 Page 8 01 11 TEMP EVENT APP <br /> 06/1 W19 <br />