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R EC-008 <br /> S A N 10 A Q U I N Environmental Health Department <br /> —COUNTY— <br /> 10. l 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 /> [,a Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck [;J 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 /> ❑ Three compartment sink. <br /> OR <br /> [,i 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 100OF(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 hump-style soata container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> alma pineda <br /> alma pineda <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 prlor to <br /> this event. owner 05-13-2026 <br /> 14. Completed by: � <br /> Title Date <br /> JI�IIPI�1 Cn.n, <br /> 5-20 Gai. <br /> Health Permit Hand wash Water <br /> Sterna wthalling <br /> Dish Paper Hand Towels <br /> Scrap dispenser <br /> Gut6np I <br /> d Sanihzer buckel- <br /> death&water tar <br /> staring wiping doths <br /> Propane Slnve &each <br /> -\1 J,- I <br /> Booth must be on <br /> Concrete,Asphalt. <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Li5 <br /> &each end Water Garbage <br /> '0) J I Can <br /> Fre Btinpu <br /> Ice Cooler alHandwashExtratoBags6Foodwater Container <br /> scared 6 ureYtes off o!ri+o gmandr P — <br /> 1868 E. Hazelton Avenue 1 Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sigov.org/ehd <br /> EMD 16-132 Page a of 11 TEMP EVENT APP <br /> 66/19119 <br />