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COMPLIANCE INFO
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0541042
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COMPLIANCE INFO
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Entry Properties
Last modified
6/15/2026 11:49:20 AM
Creation date
6/15/2026 11:27:50 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0541042
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0023502
FACILITY_NAME
LUCCA WINERY SUMMER CONCERT SERIES
STREET_NUMBER
16265
Direction
E
STREET_NAME
RIVER
City
RIPON
Zip
95366
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\tchampion
Supplemental fields
Site Address
16265 E RIVER RIPON 95366
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 OF temperature): <br /> 4ce chests L;?Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. I am providing the following items <br /> within my booth for the sanitary cleaning of food preparation utensils: <br /> ❑ Three compartment sink. J��+� ��'^��5�`� ��'� e"- �� � ���"�-rIV <br /> OR UJIM <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). \ y <br /> ❑ Detergent, bleach, and wiping cloths (cleaning towels). <br /> ❑ Tub to store wiping cloths in bleach solution. <br /> 12. i 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 rinselwastewater, <br /> ❑ Paper towels and pump-style soap container. <br /> 13. Names of responsible erson a present in booth during all hours of operation: <br /> *'Important** All food vendor booths are subject to inspection. Please make a CaDy 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 event. <br /> 14. Completed by: <br /> Signature Title Date <br /> .5-2 Gal. <br /> Health Permit 1 Hand wash Water <br /> Slemo wfchaffing <br /> Dish <br /> Paper Hand Towels <br /> Snap dispenser <br /> Cutting Board <br /> Sanitizer buckel- <br /> bleach&water for <br /> Propane Stove Bleach storing wiping cloths <br /> Booth must be on <br /> O Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Prupane Tank <br /> U1 <br /> Soap and Water Rinse Waver Bleach and Water <br /> Garbage <br /> Fire Exhnpuisher <br /> Can <br /> Extra <br /> Water <br /> Ice Cooler ( 5 Cal Hard wash <br /> . ' Exrra!co Bags&=Conlaine� Wastewater Container <br /> tored 6 inches o <br /> FHD 16-02 Page 8 of 11 <br /> W0106 TEMP EVENT APP <br />
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