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R E C-008 <br /> S A N J OA Q U I N Environmental Health Department <br /> COUNTY <br /> Grei!i,eSS gr_i7 , s hr,:-c. <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 /> [;J Other(specify)Refrigerator Cooler <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 /> v�Water supply dispenser with warm water at a minimum of 100OF (i.e. 5-20 gallon container with spigot). <br /> U One separate tub(bucket or basin) for the collection of rinse/wastewater. <br /> Paper towels and pumnp-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Patricia Larriega <br /> Patricia Larrega <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. Owner 07-02-2026 <br /> 14. Completed by: � <br /> Title Date <br /> 5-20 Gal. <br /> Health Permit Hand wash water <br /> Slerno w'Cltalfutg <br /> Dish <br /> Paper Hand Towers <br /> Soap dispenser <br /> Cu1Lnp Board Sanihzer bucket- <br /> bleach&water for <br /> Propane Steve <br /> Reach stonng wping cloths <br /> Booth must be on <br /> Concrete,Asphalt. <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> ---- Soaparsd Water Rinse Water &each and Water Garbage <br /> Can <br /> Fi'e Exlirnpweher <br /> ExVa <br /> Water <br /> i <br /> ,1 <br /> i <br /> Ice Cooler 1 5 Gal Hand wash <br /> &ra Ice Bags B=Conrar*rmswastewater Container <br /> srored 6mches o <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.$)gov.org/ehd <br /> EHD 16-02 Page a of 11 TEMP EVENT APP <br /> 06,19`19 <br />