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R E C-008 <br /> S A N d OA Q U I N Environmental Health Department <br /> COUNTY - <br /> 10, 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45°F(if food is used the following day,maintain below 41`F temperature): <br /> U Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. f 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 /> [;J Water supply dispenser with warm water at a minimum of 100eF(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 /> Samantha Nolasco <br /> "Imporlant" 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: �5'aacarW&zQJolaQra Owner [)7 06-2026 <br /> Title Date <br /> 5-20 Gat- <br /> Health Permit Hand wash Water <br /> Slento wfChalfing <br /> Dish <br /> Paper Hand Towels <br /> Soap dl5pensor <br /> Cumnp Board leadi er water l- <br /> Weadr 8 wafer for <br /> Propane Steve Wench staring wiping dohs <br /> Booth must be on <br /> Concrete.Asphalt, <br /> jiPlywood,or a Tarp. <br /> Propane Tank <br /> Spapand Walor Rinse Water &eaChand Water Garbage <br /> Can <br /> Fre Extinpwsher <br /> Eytra <br /> Water <br /> Ice Cooler 5 Gal Hattdwash <br /> Ex*a Ice Bags a Food Canlarer6 mist be Wastewater Container <br /> ---- s&W 6 inches oAaf the pretend! <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHD 16-02 Pages of 11 TEMP EVENT APP <br /> 06,19119 <br />