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R EC-008 <br /> SAN J OAQU I N Environmental Health Department <br /> COUNTY <br /> Greotness gro:,s here <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45OF (if food is used the following day, maintain below 41°F temperature): <br /> ❑ Ice chests E;k 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 /> 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 /> Wajid Syed <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. Operator 05-28-2026 <br /> 14- Completed by: <br /> ,,;y att;, Title Date <br /> SR,q.r•i., I s 5,20 Gal- <br /> Health Permit Hand wash Waler <br /> 5ierno w'Chai ring <br /> Dish Paper Hand Towel <br /> Sdap dispenser <br /> CWhnu Baaid Sandaer buCkel, <br /> bleach&water for <br /> Bleach slonng carping ddhs <br /> Propane Stove <br /> Booth must be on <br /> Concrete.Asphalt. <br /> Plywood.or a Tarp. <br /> ProOana Tank <br /> Soap and Water Rinse Water Blcachund Ware, Garbage <br /> Can <br /> Fie Erlmpu+skier <br /> Eaira <br /> Water <br /> �C.e Cooler 5Gal Hand wash, <br /> Exra ke Saps&Food Con[arrers must he Waslewaler Conlamef <br /> - stored 6Inches off Of Mo ground! <br /> 1868 E. Hazel ton Avenue I Stockton, California 95205 1 T 209 468-3,120 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHD 16-62 Page 8 al 1 I TEMP EVENT APP <br /> 0611919 <br />