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S A N J O A Q W F 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 /> )911ce chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> I <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 /> XTub 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 /> 'FlWater supply dispenser wits 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 um -s le soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> * P1-D eFP <br /> "*Important"* All food verdor 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 operation. Return original to festival coordinator three weeks prior to <br /> this event. <br /> 14. Completed by: x <br /> 'ignature Title Date <br /> a� Han 5-20 Gal. <br /> -Health Permd d wash Water <br /> �� Slerno w/Chafftrl9 <br /> Oan <br /> Paper Hand Towels <br /> Soap dispanser <br /> Cutting Board Saniltzer bucket- <br /> bleach 8 water for <br /> P opane Stove 91CaGy storing wiping cloths <br /> Booth must on <br /> O Concrete.Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Sap and Water Rsnse Wager Bleach and Water Garbage Can <br /> Frre ExAngsuslxr 1 <br /> � Ext a <br /> Watet <br /> Ice Cooler 6Gal Hand wash <br /> I Ex"Ice Sags 8 Focd_ontarners must be Wastewater Container <br /> stored 6 Inches oP or the grounds <br /> 1868 E. Hazelton Avenue I Stocktoi,California 95205 T 209 468-3420 { F 209 464-0138 l www.sjgov.org/ehd <br /> EHD 16-02 Page 8 or 11 TEMP EVENT APP <br /> 07/0112024 <br />