Laserfiche WebLink
SAN. J OA Q U I N Environmental H��0�� ��b�+l�rr•��afal�r�a <br /> --~C O U I',i T Y-- <br /> 10. I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 457(If food is used the following day,maintain below 41 aF temperature): <br /> ❑Ice chests ❑Refrigerator <br /> ❑Refrigerated truck ❑Ice bath and tubs <br /> 4 Other(specify). C-L g4kp S;A.$ ZE/PO le6f2E4, <br /> 11. I- ar}1 providing the following Items within my bootie 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 wafer, 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 /> /6 Water supply dispenser with warm water at a minimum of 1007(i.e.5-20 gallon contalnerwith spigot). <br /> Kone separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> Paper towels and pump-style soag container. <br /> 13. Names of res onsible persons to be resent in booth,,duriny all hours of operation: <br /> "Important" All food vendor booths are subject to inspection, lease 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- eturn orf Inal to festival coordinator three weeks Prior to <br /> this eve <br /> 14. Completed by. <br /> Signature Title D. ✓v <br /> 5-20 Gat <br /> Health Permit liandwash Walar <br /> Stenw tvfChaL'Ing <br /> Dial, <br /> Pacer Fiartd Towels <br /> Saap�spenser <br /> Culling Board sanarjar Ialckal• <br /> bleach L water for <br /> Propane 61ow ala:cls el0ft%Vvngclaats <br /> Eloolh most be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank �ltr't <br /> 5asp W Waler MMI wt. Bleach and Weler Il Garbage <br /> 111111 Can <br /> Fire Wrigulsher <br /> &sra <br /> Water <br /> Earn ke Bags d Food Caalelnen'Auto he 1!I Waslewatar CatlaHter <br /> — aAvrrlorrchss off online g7avndf _! <br /> 1868 E.Hazelton Avenue I Stockton,California 952051 T 209 468-3420 F 209 464-0938 1 www.sjcehd.com <br /> EHD 16-02 Page B or i1 TEMP EVENT APP <br /> 07/3/17 <br />