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R EC-008 <br /> S A N D UA 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 /> 45OF(if food is used the following day, maintain below 41 OF temperature): <br /> ❑ Ice chests [;J Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> Other(specify)Sandwich table, Freezer <br /> 11. i 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 100OF(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 soaA container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Shawndee Montero <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. •s,.a�. s I Owner/Operator 04-16-2026 <br /> 14. Completed by: �5h � lo zo <br /> .aiyiiaiui c Title Date <br /> 5-20 Gal- <br /> Health Permit HandwasliWater <br /> Seer no w'Chalrmg <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> CulTinp Board Sandifer bucNek- <br /> Weaeh 6 water for <br /> Propane Slavo <br /> Bleach storing wiping cfolhs <br /> Booth must be on <br /> Concrete.Asphalt. <br /> 7,' n J "n Plywood.or a Tarp. <br /> Propane TarsN <br /> ar' Soap and Water Rinse Walar Bleach and Water Garbage <br /> Y Can <br /> Pre Bbnpwsher <br /> ExUa <br /> Walcr <br /> Ice Cooler SGalHandwash <br /> Esaa ice sags a Food Conlarrers must be Wastewater Contamer <br /> stoned 6 inches off of rho grot ndf <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 Page S of 11 TEMP EVENT APP <br /> D6J19M9 <br />