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SAN J a A Q U I N Environmental Health Department <br /> 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 /> Bice chests 0Refrigerator <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 /> CR'fhree 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 /> 2 Detergent,bleach, and wiping cloths(cleaning towels). <br /> [2 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 /> ffluater 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 rinse/wastewater. <br /> Paper towels and pump-style soap container. <br /> 13. Nart s of responsible persons to be pr9sent 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. Return original o festival coolWinator <br /> this event. <br /> 14. Completed by: , � <br /> _::_- f.—Signature Title Date <br /> 5.20 Gal_ <br /> Health Permit Hand v�sh Water <br /> Sterno wlChatting <br /> Dish <br /> Paper Hand Tt>'nrtls <br /> Soap drspertxr <br /> Cutting Board Sandaer budmt- <br /> bleach&Yater for <br /> Propane Store Bleach storing vnpng cloths <br /> Booth must be on <br /> Concrete.Asphalt. <br /> i Plywood,or a Tarp. <br /> Propane Tank <br /> ;,y Snap an4 Water Rinse Water Hleach and Water Garbage <br /> Can <br /> Fire Frhnguls" <br /> tstra <br /> Water <br /> Ice Cooler 5Gal Hand wash <br /> Frha ia Begs&Foad Contamers rmst be Wastoweler Container <br /> stored d ttdhc s drd7he g/aond! <br /> 1868 F. Hazelton Avenue 1 Stockton, California 952051 T 209 468-34201 F 209 464-0138 J www.sjgov.org/ehd <br /> EHD 161-02 Page a of 71 TEMP EVENT APP <br /> 0812912023 <br />