Laserfiche WebLink
SA N J OAQ U I N Environmental Health Department <br /> -COUN7v <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 /> ❑Ice chests Rt�efrigerator <br /> ❑Refrigerated truck ❑Ice bath and tubs <br /> ❑Other(specify) <br /> 11. l�aam pproviding the following items within my booth for the sanitary cleaning of food preparation utensil <br /> LY,T ree 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 /> Q_later supply dispenser with warm water at a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> �vne separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> E14a aper towels and pump-style soap container. <br /> 13. Names of responsible persons to be p sent in booth during all hours of operation: <br /> P 5 M�P 0.Kl or -r-G. <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 even <br /> 14. Completed by: U�(/✓I`E'v� _��p� —02 / <br /> Signatur Title Date <br /> 5-20 G <br /> Health Permit Hand wash was <br /> stemo wlChaf6ng <br /> Dish <br /> Paper Hand Towers <br /> Soap dspenser <br /> Cutting Board $an62er buck 1- <br /> 6 ware!for <br /> Propane Stove Bleach storing wipng cl s <br /> Booth Must be on <br /> Concrete.Asphalt, <br /> Plywood,or a Tarp. <br /> Prcpana Tank <br /> ------------ <br /> Soap and Water Rinse Water Bleach and Water I Garbage <br /> Can <br /> Fire Exontnasher <br /> Extra <br /> Weler <br /> �Ice Cooler t'"! t,'l'r� ' sGal Hand vrasn <br /> Extra Ice Bags 6 Food Containers must be Wastewater Container <br /> slaed 6 mcaes off of the ground, <br /> 1868 E Hazelton Avenue I Stockton.California 95205 T 209 468-3420 I F 209 464-0138 1 www slgov.org/ehd <br /> EHD 16-02 Page 8 o111 TEMP EVENT APP <br /> 06/19119 <br />