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R EC-008 <br /> S A N J OA Q U I N Environmental Health Department <br /> C0UN-Y ._ <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 /> U 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 /> ❑Three compartment sink. <br /> OR <br /> [Z�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 10011F(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 um -s rle soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Teresa Santana <br /> Teresa Santana <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 /> owner 07-06-2026 <br /> � <br /> 14- Completed by: .tPaa-�'arrtasui <br /> in�urc Title Date <br /> 5-20 Gal. <br /> Health Perm—it-1111 Hand weshWater <br /> 5ffirna w:Chalbng <br /> Dish Paper Hand Towels <br /> ;IEE] <br /> Gutting Board Sanitizer buckel- <br /> bleach Rwaterlor elodng Wping dohsBooth must be on <br /> Goncrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Soap and Walar RknseW Garbage <br /> Can <br /> l=re Erlinpwsher <br /> Exh a <br /> Water <br /> Ice Cooler S Gal Hard wash <br /> Erna Ice Bags&Food Conrsn4rs mus r be Wastewater Container <br /> shred S ruches o!/o!the ground! <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 I www.sigov.org/ehd <br /> EHD 16-62 Page 8 01 11 TEMP EVENT APP <br /> M1909 <br />