Laserfiche WebLink
ISAN ;JOAQUIN n n-m Department <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 day, maintain below 41°F temperature): <br /> _E01ce chests -EQ[-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 /> ,Q-T, P'ee 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 /> -�yVater 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 /> 13. Names 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. <br /> 14. Completed by: C>.J �v►/ttig c,c=. i= ; -- Z Z- (9 <br /> Signature Title Date <br /> 5-20 Gal. <br /> Hea7hPermit Hand wash water <br /> SYerno w/Chaffing <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board <br /> Sanitize!bucket <br /> bleach&water for <br /> Propane Stove Bleach storing wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood, or a Tarp. <br /> Propane Tanktj4.,, <br /> Soap and Water Rinse Water Bleach and Water <br /> Garbage <br /> r ` <br /> Fire Extinguisher Can <br /> ,� Water <br /> Ice Cooler _ <br /> "Y 5 Gal Hand wash <br /> wWa S;r" Extra ice gags&Food Containers must be Wastewater Container <br /> stored 6 inches off of the ground! <br /> 1863 F. Hazelto , Avenue I Stockton, California 95205 T 209 463 31420 ; F 209 464 0138 ! www.sjcehd,G0rr) <br /> EHD 16-02 Page 8 of 11 <br /> 07/3/17 TEMP EVENT APP <br />