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i <br /> I f l f <br /> ..� .42 <br /> ( d( t <br /> SANJQAOUIN Environmental Health Department <br /> —COUNTY-- <br /> _ w k_ I <br /> 10. 1 art providing the folleming cold temperature control for the cold holdirg of potentially hazardous f000s belo'� <br /> 45'F(if fa:d is used the faf*wing d ay,mafntarn Wow A1'F ternpev-azure), <br /> tli echests ❑Refrlgeiator <br /> []ReIngeratedtrrjok te bath and tu4s <br /> WhQr <br /> 11. tarn peoviftng the foloew-ng Tiring w1h,n my booth for the sanitary cleaning of food preparation utenss' <br /> d Thica Wrnpattrnent strk. <br /> GF. <br /> Three deep tubs {batons el S inches rrammim), one for soVj water- ane for rinsing and one for a bleach <br /> solution(one tabiesP&W of btwh Aer Sal►en of water) <br /> cteigent bleach.and wiping cloths(cteanlrlgt*�re1s} <br /> ub to store wiping cloths In blea6h solutn4l <br /> 12 J a "VidFng the foliormng far adequate hand washing faWllies, bu. separate from utensil wash withm my <br /> booth <br /> wafer suppfy ditpenser vAth warm water at a rninimurn of 100•F{i e 5-20 gallon rontaFnerwrth Sp�oty. <br /> 15ne separate tub(bucket or b,2srn) lorthe collection or`rinsemas.ewater, <br /> Vap2t towels and i•umpgyle soars container. <br /> 13 Names d`Tespons-Ve •cr •be present in booth during allhours of operatian <br /> TQ I I-A r.1 1f)( I A 1�� <br /> GVj IV] �1 i Lt-'� <br /> "impartant- WI food vendor booths are subject to mspecteon p6ase make a c*pV of this apprca43on n <br /> Ocepar' ion for tli,s even: A copy of this chv-klist must be in the bcor,h at aft hours of <br /> prep. ikon ay operation R,rturn original to f ival carr�jpator three weeks !r is <br /> t `v f - March 14, 2026 <br /> `$. Completed by !� _ <br /> Siynatterc of J1731P 1 <br /> SfaQ lµM+n'. 11 <br /> r� �_ �et�,a•wa'r� <br /> thefirrn S�o::s al.e:rt P toy am. <br /> / r <br /> �r =r4 <br /> �rmn{narus _ <br /> LL� �--^^' riaap an7YHla �f�r,a�5\V�t {FMitr s.f'Angr C2.1r�ELgC <br /> � rrr EKnp.�pur <br /> Esre <br /> Kti W <br /> ice CoaItr I" <br /> OLE � - {d goy:+r'=1 <br /> -- r.'+a�A.s--R.�.n:l lFnnn.me •,#u I iAa ela.nur..w,ld!w'y <br /> wied F kUv..s7�f 1a{:iTY�Tf <br /> 1461 E.Razel on Avenue I Stocktoq Califomla 962051 T 2W 468-3424 f F 21)t 4G4,dt9a i %,mw8)gov*t-W1eFSd <br /> Exo ,hCl2 0;ems:-�:z rtwFEvEr_TAPP <br />