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7: SAN,JOAHIN <br /> Environmental Health Department <br /> ------C D U N T y.. <br /> I Q 14. 1 am providing the fojewing cold temperature control for the crAd Wding of poLenlially hazardous foods below <br /> 45*F Of food Is used lire following clay,mnintaln belaw 41'F tempanaluro): <br /> ®Ice chests ❑Refrigerator <br /> ®Rafiigeraled truck ❑kce 1Talh and tubs <br /> ®Other(specify? <br /> N 11, t am providing the faAowing flems within my booth for the eanftafy cleaning of food preparation utensil <br /> ❑Three compartment sink. <br /> OFi <br /> ElThree deep tubs(basins 6-0 Inches minimum),ono for soapy wolf r,rens for rinsing and one for a bleach <br /> sokution(one tablespoon of bleach per gallon of water). <br /> ❑Dtt"ent,bleach,and wiping ciotlt5(deaning travels), <br /> ❑Tub to slum vvipitsg clelhs In bleach solulion- <br /> �Q 12. 1 am providing the fallowing for adequeta hand washing facilities, but separate from tttensll wash wthln my <br /> booth: <br /> ®Water supply dispenser with warm water at a minimum of 100`F(i.e.5-20 gallon con%lner with spigui). <br /> ®One separate tub(bucket or basin)for the Colieetion of rtnSBA%-aStewetef. <br /> ❑Paper towels end um -s a soa container. <br /> 13. Names of responsible parsons to be present In booth during all hours of operation: <br /> + + Art food vendor bootths are sttb)ecl to Rieassa make a copy of"is apQtcatron eT <br /> preparalion for this event A Copy of this dredEM must be in the booth at a!1 hcum of <br /> preparat}on and operation- Retrarr ottalnw to dor Wee WOaks Prior to <br /> this event 1a.i)rtu T '2 I3 �• <br /> ib. Completed 6y: Thio data <br /> 5lgnaWre <br /> i <br /> ua c+ <br /> rrv..s+ries. <br /> tieaittt Permit aQao� <br /> ard �rp+d Tods <br /> .`y'2Cner <br /> f��b Bid WwT L pub b <br /> Irol[h ���efolu <br /> Bwtt1 must bo os <br /> Coyle.Asphalt, <br /> P yf.00d.a a Top. <br /> nw..+Tut <br /> �.,H-x��rr Laty.rWwr filwGab" <br /> CM <br /> at•�- rre E[soil <br /> rrr. <br /> Ic�CoHole, i <br /> -J/ prl�iFm/meaYw'+,v�p <br /> re�A Rlamd�da+Vas� <br /> 1668 E.Hazelton Avenue Stockton,California 95205 X209 468-3420 I F 209 464-0138 wvrw.sjgoTEWv or MAPP <br /> EM te-os <br /> aenwtu <br /> L ---- --- - — -- - -- .._ <br />