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SAN J Q A Q U I N Environmental Health Department <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45eF(If food Is used the following day, maintain below 41 OF temperature): <br /> Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(spectfy) <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 /> X[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(Le. 5-20 gallon container with spigot). <br /> ,®,One separate tub(bucket or basin)for the collection of rinsetwastewater, <br /> Paper towels and Gump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> *important*" All food vendor booths are subject to inspection. Please make a copy of this appl}cation 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 ori Inal to festival coordinator three weeks prior to <br /> gtevent. ,._.. <br /> 14, Completed by, <br /> Signature Title bate <br /> rr20 Gal. <br /> Health Permit 31aHand wash Water <br /> mo w1ChaE@ng <br /> p}y}, <br /> Paper Hand Towels <br /> Snap dlspansr:r <br /> Culdng E3oard Sanbw bucket- <br /> bleach&water for <br /> propanr 8[aye Bleach Storing Wtping Oolhs <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tenk <br /> V <br /> ------------ <br /> Soap and water EZinse Water Hutch and Water Garbage <br /> Can <br /> Fire EAngu}sher <br /> F�rtro <br /> Wetu <br /> lice Cooler 5 Gal Heed Wash <br /> Extra fee sees&rood Confeiners must ba Wastewater Container <br /> stored G ihchas offolMe Qrwmdl <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 F 200 464-0138 l www,Fjgov.org/ehd <br /> EHD 1"2 Page B of 11 TEMP EVENT APP <br /> 06119/19 , <br />