Laserfiche WebLink
SAN JC1AHIN <br /> M I am providing the following cold temperature control for the cold holding of potentially hazardous foods bolow <br /> 45°F (if food is used the following clay, maintain below 41"F temperat)re)' <br /> ❑ice chests ❑Refrigerator <br /> ❑Refrigerated truck ❑Ice bath anti tubs <br /> [� other(specify) <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> D Three 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 o1 bleach per gallon of water). <br /> Ll Detergent,bleach,and wiping cloths (cleaning towels), <br /> D 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 /> Wat r'supply dispenser with warm water at a minimum of 100'F(i.e. 5-20 gallon container wth spigot). <br /> One separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> J <br /> Paper towels and pump-style soap container, <br /> 13 Name pf responsrbte perso sio¢¢e present In th dui 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 44d operation. Return original to festival coordinator three weeks prior to <br /> this enIt <br /> f ,y <br /> 14. Compfetedby' <br /> --SFnature Title pate <br /> -•- 5.2:Gal. <br /> WrV woslt J'a!r• <br /> Health Permit Ssrnc w,*•han.ry <br /> .— WaFo•baro raxru <br /> 5oev;hlca-nc <br /> C.14rt7 A:av San7HrOVCHI- <br /> aaGl i 6 xa•al!n <br /> �I[+n�w,prrq ttlh <br /> Roth niusl he on <br /> i O <br /> Concrete r a Tart <br /> Il Plywood,or a Tarp <br /> FiCuv�'uH —� <br /> Saes IM1a i`in:r, 4,r`,a sll— fiMa;^ora Jtalar+ <br /> C .. <br /> Can <br /> C,ruo <br /> Y:n.er <br /> Ice Cooler <br /> rr i:u rcu Ha756 Faro CCridSl.•b mus:[r f- ha1'u.aalp'GOMi AP <br /> sravJ G mcMs ar ar r.+ p+air: ` <br /> + <br /> 1868 E Hatelwn Avenuo I Stcckto+I Ca€!fo nra 952051 T 209 468-3420 F 209 W34-0138 l %,`A+,:v.sjcr-hd porn <br /> E-0!6-02 Paye a or T--VP EVENT APP <br /> 0.7-1 V <br />