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R EC-008 <br /> SA610AQUIN Environmental Health Department <br /> COUNTY— <br /> IS t ni-S S qrn',-,i h,--f- <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 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 /> [,i Three compartment sink. <br /> OR <br /> U 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 /> U W ater supply dispenser with warm water at a minimum of 1001F(i.e. 5-20 gallon container with spigot). <br /> [�One separate tub(bucket or basin)for the collection of rinselwastewater. <br /> Paper towels and pumg7sttile 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. wr Jana's Burgers 07-02-2026 <br /> 14. Completed by. �X�r• ��� <br /> Title Date <br /> 5-2o Gal. <br /> Health Per Hand wash Wale` <br /> Slema w:Chal f i�g <br /> lJsh <br /> Paper Hand Towels <br /> Soap dsuenser <br /> Culbnq Board Sanilizer buckal- <br /> bleach&walerlor <br /> Propane Slow bleach stonng typing dohs <br /> Booth must be on <br /> Concrete.Asphalt, <br /> < Plywood,or a Tarp. <br /> Prepare Tank <br /> `lK'r Soap and Water Rinse Water each and Water Garbage <br /> Can <br /> Pre t:-linpulsher <br /> Ealra <br /> water <br /> /� 1 <br /> Ice Cooler 5Gal Hand wash <br /> Fxba Me 13ags d FppGCpnfenBr6 must be WastevMLer Container <br /> shored 6 inches off of the ground! <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHD 16.02 Page 8 of 11 TEMP EVENT APP <br /> 06..119119 <br />