Laserfiche WebLink
SAN-JOAQUIN <br /> Environmental Health Department <br /> —COU€\I T Y— <br /> ' yr;-.„`• Greatne=ss glclt:s f:r:re. <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45aF(if food is used the following day,maintain below 41°F temperature): <br /> ❑Ice chests - Q Refrigerator <br /> [3:Reffigerated truck ❑Ice bath and tubs <br /> ❑Other(specify) <br /> 11. I am providing the following items within my booth for the sanitary cleaning of food preparation utensil ` <br /> E:FThree compartment sink. <br /> OR <br /> [8 Three deep tubs (basins 6-8 inches minimum), ane 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 minhnum of 100°F(€.e.5-20 gallon container with spigot); <br /> ❑One separate tub(bucket or basin)for the collection of rinselwastewater. <br /> ❑Paper towels and puma-style soap container. <br /> 13. Dames of responsible persons to be present,in booth during all hours of operastion: <br /> portant"" 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 Ife turn ori incl to festival coordinator three weeks Prior to <br /> . <br /> this event. <br /> � <br /> 14. Completed by: <br /> Sl§nature Title Date <br /> 5-20 Gel. <br /> Ha_nd wash Water <br /> Health Perm€t stulaatrlCtlslrmg. <br /> Paper Florid Tatrels <br /> Soap dlepnnlal <br /> LLlllnoan1Sanilizer budlc4t- <br /> 9 beach 5 waSar for .... <br /> aiodng4dlnp doihs <br /> B each <br /> Propane Stove ' <br /> Booth must be on <br /> Concrete;Asphalt <br /> Plywood,or a Torp. <br /> Gaal MWWater Rln§a Walbr BfeathandwMWr Garbage <br /> _ Can <br /> rhe EAkl quishar � <br /> - Wakr <br /> lCG COOIEr + bGalHaAdlvash <br /> i Elba ke bags d Fodd Contaiim riwsf be J wa 'reler�oMe3ner <br /> stared 6&1dies otrafibe 9T9tff r <br /> 1866 E.Haielton Avenue i Stockton,California 952051 T 209 468-3420 l F 209 464-0138 E yvww.sjcehd..com <br /> FHp 10-6e page B of 11 TEMP EVENT APP <br /> WIN 17 <br />