Laserfiche WebLink
1 ! 11 a <br /> 1 <br /> SANJOAQUIN Environmental Health Department <br /> mil . -COUNTY - <br /> p Grrarnirss qrc,55 hr•rr <br /> 10. I am providing the following cold temperature control for the cold holding at potentially hazardous foods below <br /> 45" (if food is used the following day, maintain below 41-F temperature <br /> ce 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 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 /> I <br /> O separate tub(bucket or basin)for the collection of rinselwastewater F <br /> Paper towels and pump-style soap container. O <br /> 13. NE rtes of responsible persons to-be present 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 to festival coordinator three weeks prior to <br /> this event E. <br /> I a <br /> 14. Completed by: J <br /> i' Signature Title Date <br /> V <br /> 5-20 Gal <br /> Health Permit Hand wash water 5[emo wlChaHing <br /> Dish Paper Hand Towels <br /> Soap dispenser <br /> ��8aad Sarulizer huckel , <br /> hl9arh 6 water for <br /> I <br /> Bleach stomp wiping doths J <br /> Propane Stove I <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Prop+na Tank <br /> Sarp and Wale Rinsa+ter Bleach and water Garbage <br /> Can <br /> Fm EdnWslw <br /> Extra <br /> VYa[er <br /> Ice Cooler 5 Gal Hand wash <br /> Esfra Aos aaw 6 rood Gorrfwrr+r+mud be <br /> Wastewate+conulner <br /> afanM a t rdn+off or#a g-_rdl <br /> 1668 E Haze ton Avenue I Stockton, California 95205 i T 209 468-34201 F 209 464-0138 www.sigov.orgfehd <br /> TEMP EVENT APP <br /> Pape 8 of 11 <br /> EHO#6-02 <br /> Wins <br />