Laserfiche WebLink
SAN JOAQUIN p <br /> Environmental Health Department <br /> I _ —COUNTY-- <br /> Grcotn—s grot�,r here. <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 /> ❑ Ice chests Q 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 /> 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 of bleach per gallon of water). <br /> ❑ 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 /> 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 rinse/wastewater. <br /> ❑ Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours <br /> of operation: <br /> ,5AfAuu/J All, 17 . �/L/�Gf� L'ri }k r✓lCf 1�Vc>��,P 5� <br /> ��bro�- Jchns�n <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 /> th' nt. - <br /> 14. Completed by: ZJ/ lmt0 y <br /> Signature Title Date <br /> 5-20 Gal, <br /> Health Permit Hand wash Waler <br /> Sterno wlChaffing <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cultinq Boartl Sanislzer bucket- <br /> bieach 8 ,or <br /> for <br /> Propane Stove Bleach storing wiping cloths <br /> rG .0,Bo must be an <br /> ",' <br /> ete,Aspha3t, <br /> Plywood,or a Tarp. <br /> Propane lank <br /> Soap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fire EKtinguisher <br /> Extra <br /> Water <br /> Ice Cooler 5 Gal Hand wash <br /> Extra Ice Bags d Food Containers must be wastewater conta ner <br /> stared 6 inches oflof the ground! <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHp 16-02 Page 8 of 11 TEMP EVENT APP <br /> 06/29/2023 <br />