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S A N D OA Q U I N Environmental Health Department <br /> 1fl. I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45OF(if food is used the following day, maintain below 41'F temperature): <br /> ❑ Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bat and tubs <br /> Other (specify) r <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 /> 11 ames of responsi le persons to be pres t in booth duri all hours of operation: <br /> Ye <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 /> preparatio and eration. etur original to festival coordinator three weeks prior to <br /> this eve oil <br /> 14, Completed by: }L <br /> ignature Title 0 Pate <br /> 5-20 Gal, <br /> Health Permit Hand wash Wafer <br /> Sterno wfChafligg <br /> (Dish <br /> Papar Hand Towels <br /> Soap tlispenser <br /> Culling Board Sanifizer buckeb <br /> bleach&waler for <br /> Propane Srove <br /> Bleach slang wiping Wrnhs <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Soap and Water Rinse Wafer Bleach and Wafer <br /> Garbage <br /> Can <br /> Ftre Ezongwshw <br /> E a[ta <br /> Wafer <br /> Ice Cooler 5Gal Hand wash <br /> Extra Ace Sags d Food Cormorws fluor be Waslewator Container <br /> smred 6 fthes off of the gnotrrtcn <br /> 1868 E. Hazelton Avenue { Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> OMM2023 <br />