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s <br /> SAN JOAQUIN Environmental Health Department <br /> -COUNTY- <br /> l:,.;reotness grows flerc <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 ❑ 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 /> © 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 hump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Maria Penaloza <br /> Juan Macias <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: Owner 4/30/24 <br /> Signature Title Date <br /> 5.20 Gai, <br /> Health Permit Hand wash Water <br /> Sterno w/Chafiitp <br /> Drsh <br /> Paper Hand Towels <br /> Soap drsoertsm <br /> Culbng Board Sanl6zer bucket. <br /> bleach&water for <br /> Propane Stove Bleach stonnq wlpina cloths <br /> Booth must be on <br /> N Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank - -. <br /> -------------- <br /> _.;.` Soap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fire Exlingw-or <br /> Extra <br /> Water <br /> Ice Cooler 5 Gal Hand wash <br /> Extra Ice Bays 6 food Contaurers must be wastewater Container <br /> -- stored 6 inches off or the groundr <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHO 16-02 Page 8 of 11 TEMP EVENT APP <br /> 06/29/2023 <br />