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Environmental Health Department <br />10. <br />11. <br />OR <br />12. <br /> Water 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 nnse/wastewater. <br /> Paper towels and pump-style soap container. <br />13. <br />14. <br />Paper Hand I owels <br />Soap dispenser <br />Cutting Board <br />J BieacnPropane Slove <br />Propane Tank <br />Bleach and Water <br />Fire Extinguisher <br />Ice Cooler <br />stored 6 inches off of the ground1. <br />TFMP EVEN' a pi­page 8 of 11 <br />■ <br />1 '■r ■r r' <br />Soap and Water <br />/ <br />Rinse Water <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth. <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 />0 Tub to store wiping cloths in bleach solution. <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> Three compartment sink. <br />Sterno w/Chaffing <br />Dish <br />5 Gal Hand wash <br />Wastewater Container <br />Samtaer Ducket­ <br />bleach & water tor <br />storing wiping cloths <br />Extra <br />Waler <br />5-20 Gal <br />Hand wash Water <br />l~'____________■- ■) <br />Extra Ice Bags & Food Containers must De | <br />stored 6 inches off of the ground1 <br />1868 E. Hazelton Avenue I Stockton, California 95205 | T 209 468-3420) F 209 464-0138 | www.sjgov org/ehd <br />EHD 16-02 Page 8 of 11 Truocijc.- <br />06/19/19 <br />Garbage <br />Can <br />SAN JOAQUIN <br />------COUNTY------- <br />. ‘ GreotneFS gro.vs here <br />I 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 below41°F temperature) <br />Ice chests Refrigerator <br /> Refrigerated truck Ice bath and tubs <br /> Other (specify) <br />Booth must be on <br />Concrete, Asphalt. <br />Plywood, or a Tarp. <br />Names of responsible persons to be present in booth during all hours of operation <br />MwvvU ______ <br /> <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 /> <br />Completed by: <br />Ty ^Signature Title Date <br />ILC----- | <br />Health Permit I