Laserfiche WebLink
M <br /> SAN f OA 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 /> 45°F(if food is used the following day, maintain below 41°F temperature): <br /> Ice chests ❑ 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 food preparation utensil <br /> ❑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 followings for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> )ZzWater 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 perscns to be present in booth during all hours of operation: <br /> T�L H AAJ J.T 5-1A)/7 y 1, �h-6 AiVAE-C--P S/�J4 x <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 this evert. peration. Return original to festival coordinator three weeks Prior to <br /> 14. Completed by: �O <br /> Signature Title Date <br /> M <br /> Health Permit 5-20 Gal. <br /> Sterno Cl­ g Hand wash Water <br /> Dish <br /> Paper Nand Towels <br /> Soap disperser <br /> Cutting Board <br /> Samtzer bucket- <br /> Propane Stove n <br /> Ybleach 8 vraterfor <br /> Fllcac! nng.,;p,n9 uoms <br /> _ Booth must be on <br /> Concrete,Asphalt, <br /> P cpane lank �)/WOod,or a Tarp. <br /> Soap and Water Rinse Water Bleach and 4Yater <br /> Garbage <br /> Fire&In,u sher Can <br /> Extra <br /> \Hater <br /> Ice Cooler <br /> - Extre tce Begs d Foci7 Containers must be Wastewater Cont-dirner stored 6 inches oR of tl se r�rounA <br /> '368 3=- Haze±ton Avenue i Stockton. California 952f��END 16 02 T 209 468-3420 1 F 209 464-0138 w'1111.$) Cv.Gs g, hn <br /> 07/01/2024 Page 8 of 11 <br /> TEMP EVENT App <br />