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R EC-008 <br /> S A N J a A Q U I N Environmental Health Department <br /> L-' —COUNTY— <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 450F (it 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 /> ❑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 /> Water supply dispenser with warm water at a minimum of 100°F (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-stylep container. <br /> 13. Blames of responsible persons to be present in booth during all hours of operation: <br /> Trevor Odom <br /> Aidan Larson <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 /> 14. Completed by: �a� <br /> uI tl0Lu9c" '"'" Title Date <br /> 5-2n Gal <br /> Health Per Hand wash Waler <br /> Slerno w Chaffing <br /> Dish <br /> Paper Hand Towels <br /> SoaU d+SAn nsar <br /> Cal unq Board SamUcer backel- <br /> bleach,wafer for <br /> Prcpane$love Bleach slonng rrprng clahs <br /> Boath must be on <br /> Concrete,Asphalt. <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Soap and Water Rinse Waler Bleach anA V,'aTc, <br /> Garbage <br /> Can <br /> Fie E.brrgwsher <br /> Eaira <br /> w:�er <br /> Ice Cooler I 5 Gal Hand wash <br /> Epps ke flags&Food Conlaners mus!de F <br /> asl e,rraler Container <br /> sicred 6 mcru s oft or the ground:' <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.orglehd <br /> EHD 16.02 Page S of 11 TEMP EVENT APP <br /> 06'19'19 <br />