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COMPLIANCE INFO
EnvironmentalHealth
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EHD Program Facility Records by Street Name
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L
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LOCKEFORD
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413
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1600 - Food Program
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PR0508106
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COMPLIANCE INFO
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Entry Properties
Last modified
6/16/2026 10:04:05 AM
Creation date
6/15/2026 9:43:45 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0508106
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0007944
FACILITY_NAME
LODI WINE FESTIVAL
STREET_NUMBER
413
Direction
E
STREET_NAME
LOCKEFORD
STREET_TYPE
ST
City
LODI
Zip
952402334
APN
04124029
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\tchampion
Supplemental fields
Site Address
413 E LOCKEFORD ST LODI 952402334
Tags
EHD - Public
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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 /> El <br /> emperature):❑ 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 utensils: <br /> OR ElThree compartment sink. /v C -t�<c-5 �(ttJ(3L 5 c 2, t:L— IS(45(Le <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 /> .N(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 /> .tel Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br /> -WOne separate tub (bucket or basin)for the collection of rinse/wastewater. <br /> -7 Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> L <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 vent. <br /> 14. Completed by: L �AlAU�. <br /> Signature Title Date <br /> 5-20 Gal. <br /> Health Permit Hand wash Water <br /> Sterno w/Chaffing <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board <br /> Sanitizer bucket- <br /> bleach&water for <br /> Propane Stove Bleach storing wiping cloths <br /> Booth must be on <br /> y Concrete,Asphalt, <br /> o0 r a <br /> ` <br /> Plywood,o Tarp, <br /> Propane Tank <br /> Soap and Water Rinse Water Bleach and Water <br /> Garbage <br /> Fire Extinguisher <br /> Can <br /> Extra <br /> water <br /> r. <br /> IC@ C00Ier r Aw�r ! 9 e �eac <br /> 5 Gal Hand wash <br /> Extra tce Bags 8 Food Containers must be Wastewater Container <br /> ---�`X' stored 6 inches off o/the ground! �i <br /> EHD 16-02 Page 8 of 11 <br /> 7/28/10 TEMP EVENT APP <br />
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