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A NJ DAQ U I N Environmental Meath Department <br /> COUNTY ---- <br /> 10. I am providing the. following cold tempPrat!_tre control for the cold holding of potentially hazardous foods below <br /> 45aF(if food is used the following day, maintain below 41OF temperature): <br /> ❑ Ice chests refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> [—] other(spocifi�).__ <br /> 11. 1 am. viding the following items within my booth for the sanitary cleaning of food preparation utensil <br /> ree compartment sink. <br /> OR <br /> Ej 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 /> ter supply dispenser with warm water at a minimum of 100°F (i.e.5-20 gallon container with spigot). <br /> LXne separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> Gaper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> r IM Flo t,�s�� • <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 an(;koperation. Retum original to festival coordinator three weeks mior to <br /> this eve _26Z <br /> 14. Completed by: (.� <br /> Signature Title Date <br /> Nand wash Water <br /> Health Perm!# <br /> Steno wlChatfing <br /> Gish Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board D <br /> anitver bucket- <br /> ach&water for <br /> ing wiping cloths <br /> Bleach <br /> Propane S[ovo <br /> =,mnust <br /> i. <br /> Propana Tank <br /> - Soap and Water Rinse Water Bleach and Water Garbage <br /> IL E _ Can <br /> Fire Exlinauisher _ <br /> Water <br /> Ice Cooler 5 Gal Hand wash <br /> 'i Extra I"aags 8 Foodm Containers ust be <br /> Wastewater Container <br /> stored 61—hes off of the groundl <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgoy.org/ehd <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 06/19;19 <br />