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R EC-008 <br /> S A N J O A 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 /> 450F(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) <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of lood preparation utensil <br /> [;J 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-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Alejandro Kandalaft, Maria Castillo,Armando Carbajal <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 03-2$-2026 <br /> 14. Completed by: ia�rrcd�o , r <br /> aiofIaius Title Date <br /> 5-20 Gai. <br /> Health Permit Hand wash water <br /> Sterna w'Chalfing <br /> 0-sh <br /> Paper Hand Towels <br /> Soap dispenser <br /> Gulfinq 698rd 5an,h2ar bur:kal- <br /> bleach 6 water for <br /> Propane Slave <br /> Bleach slonng+typing Goths <br /> Booth must be on <br /> Concrete.Asphalt. <br /> - - Plywood.or a Tarp. <br /> Propane Tank <br /> Scap and Water Rinse Water &each and Water Garbage <br /> Can <br /> Fro Eatinpu.sher <br /> >=rua <br /> Water <br /> Ice Cooler 5 Gal Hand*ash <br /> EAlra Ice Bags 6 Food Contaners must Ae Wastewaler Container <br /> stored 6 inches off of the 9mund' <br /> 1868 E. Hazelton Avenue Stockton. California 95205 1 T 209 468-3420 1 F 209 464-0138 ( www.sjgov.org/ehd <br /> EHD 1"2 Page 8 o1 11 TEMP EVENT APP <br /> 0619,'19 <br />