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. R E C-008 <br /> a SAN-dOAQUIN Environmental Health Department <br /> COUNTY- - <br /> 10, 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 450F(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(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 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 100aF(Le. 5-20 gallon container with spigot). <br /> ❑One separate tub(bucket or basin) for the collection of rinse/wastewater. <br /> [.�Paper towels and puma-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Lisa Duncan <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 operation. Return original to festival coordinator three weeks prior to <br /> this event. <br /> 1 _ Owner [)4-16-20 6 <br /> 4. Completed by <br /> Title Date <br /> 5-20 Gal. <br /> Health Permit <br /> S[erno w:ChefLng Hand wash Water <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Culunp Boerd Sardizer bucket- <br /> bleach&water for <br /> Propane Slov+e &each sionng rNpinp doFhs <br /> Booth must be on <br /> Concrete.Asphalt. <br /> U' <br /> Plywood.Ora Tarp. <br /> , ems- <br /> Propane Tank <br /> Soap and Water f-se Waiar each and water Garbage <br /> Can <br /> Fre Extirtpuisher <br /> Exba <br /> water <br /> r <br /> -I <br /> Ice Cooler 5 G29 Hand wash <br /> Exha ke Bags&Food Con[aners P. Wastewaler Conlainer <br /> staid 6 ipd»es off of r1w groan d.' <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHID 16-02 Page 8 of 11 TEMP EVENT APP <br /> 06,1 T 19 <br />