Laserfiche WebLink
Environmental Health Department <br /> <br />11. <br />OR <br />12. <br />S Paper towels and pump-style soap container. <br />13.Names of responsible persons to be present In booth during all hours of operation: <br />14.Completed by: <br />Health Permit <br />Paptr Hand Towels <br />Soap dispenser <br />Cutting Board <br />BleachPropane Stove <br />Propane Tank <br />Soap and Watar Bleach and Water <br />Fire ExUnpulaher <br />Ice Cooler ; <br />Page 8 of 11EHD 16-02 <br />06/19/19 <br />H Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br />0 One separate tub (bucket or basin) for the collection of rlnse/wastewater. <br />Garbage <br />Can <br />Sanitizer buckel- <br />bleach & water (or <br />storing wiping cloths <br /> Booth must be on <br />Concrete, Asphalt, <br />Plywood, ora Tarp. <br />Exln let Bagi t Food Conlolnta must b» <br />atored fi Inchoa off at tha ground! <br />Slemo wrChafTmo <br />Dtoh <br />B Gal Hand wash <br />Wastewater Container <br />Title <br />Important^ <br />z <br />Rinse Water <br />(O, <br />Watar <br />Date <br />K 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 />0 Detergent, bleach, and wiping cloths (cleaning towels). <br />Q Tub to store wiping cloths in bleach solution. <br />5-20 Gal. <br />Hand wash Water <br />10. <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> Three compartment sink. <br />SANJOAQUIN <br />------COUNTY------- <br />Gr-e n> s ,g■ r; !i /■.- c. <br />I 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 Refrigerator <br /> Refrigerated truck Ice bath and tubs <br /> Other (specify)^ <br />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 />thfe event . <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 I F 209 464-0138 | www.s|qov.orq/ehd <br />cun<Bn-’ --------------- TEMP EVENT APR