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s SAN JOAQUIN <br /> Environmental Health Department <br /> t.. COUNTY - - <br /> LR {greatness grows 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 da , maintain below 41°F temperature): <br /> 16Ice chests [Refrigerator <br /> ❑ Refrigerated truck I[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 /> §olution (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 /> ne separate tub (bucket or basin)for the collection of rinse/wastewater. <br /> aper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all flours 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 /> prepay ion and op tion. R turn original to festival coordinator three weeks prior to <br /> this nt. <br /> 14, Completed by: 44 <br /> W� r <br /> gnature Title ate <br /> 5-20 Gal <br /> Hand wash Water <br /> Heaith Permit Stemo wlChafhng <br /> G,sh Paper Hand Towels <br /> Scrap di5pen5el <br /> :lSanitizer <br /> Bleach <br /> Propane Stove <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> PoAan]TanN ------------ <br /> Soap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fire EAinQ--her <br /> E tra <br /> Water <br /> i <br /> I <br /> LIceCooler . 5Gal Hand rash <br /> - E-tra Ice Bags 6 Food Conlarners m"t be WaStewaler Cmtainer <br /> --. --> stored 6 inches off of the ground' <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.slg°MP EgE1Vhd <br /> EHO 1"2 Page 6 of 11 <br /> 06119/19 <br />