Laserfiche WebLink
a <br /> SAN JOAOUIN Frivironryientcil Health I)o1partment <br /> 10. I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45°17(if food Is used the following day,maintain below 41°F temperature): <br /> ece GI1e818 [1 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 /> 1-1 Three compartment sink. <br /> OR <br /> E?fhree deep tubs (basins 5-8 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 /> [j 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 /> (awater supply dispenser with warm water at a minimum of 100°1=(i.e.5.20 gallon container with spigot). <br /> r46n-6-'S'eparaIe tub(bucket or basin)for the collection of rinsetwaslewaler. <br /> �er towels and - e loan container, <br /> 13 Names of resonsible persons to be pre ent In booth during all hours of operation: <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. RelUrn original to festival coordinator three weeks prior to <br /> leis ev <br /> 14. Completed by: 04,L/4 e l — L <br /> Sigl Title Date <br /> •• 5.70 Gal <br /> Nealth L_ <br /> Permit r naaC wash W.mr� I Sfrrno wlChalluq __ <br /> [NsfF F'ryur tlanri TaNWi <br /> _Snap 6apanaw <br /> C�lliny Oord - - SanAxar euc�va <br /> Wsachiwfurfvr <br /> _ Nprinp VMNnq tlaVM <br /> prepare 3teva frleaUt -- <br /> Booth mull be on <br /> Cywood. Asphell, <br /> PlywaocE,or a Tarp. <br /> V11 Soap ane Wala Mnse Wa!ar Nioarh and Wolar I Garbage <br /> Can <br /> FYa E.1 astnfbar <br /> F.aus <br /> ---------- -- <br /> rice Cooler 5G+rllsndw.. 1. <br /> r JE Wo ken+ps 6 rood cadAkMra anrrf ba WoslMaler Conlanbx 11 <br /> storvde Mcaw on pl fhe grow+Jf __—.__.__._ <br /> MO t:, I lazolton Avonue i Stockton.California gti?.05 1 T 209 468.3420� F 209 484.0'138 � www.slgov.orciluhd <br /> 1 [Fin 16.0'2 rage sco ti 7F.MP EVENT Arr' <br /> 06n Otto <br /> r <br />