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S N JOAOUIN Ebnlvironmentat Heafih t� :rrrr�� rlr. <br /> <_ ,i, I. I r i, <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> �25°F (if food is used the following day, maintain below 41°F temperature): <br /> 1ce chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. Via n 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 pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> ✓v Or a w awe sW I e LA**Import nt** All food vendor booths are subject to inspection. Please make a copy of this application <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 /> th' v nt. <br /> 14. Completed by: <br /> Signature Title Date <br /> „i 5-20 Gal. <br /> Health Permit '" Sle Hand wash Water <br /> mo w/Chaffing <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board Sanitizer bucket- <br /> bleach 8 water for <br /> Propane Stove Bleach storing wiping cbths <br /> Booth must be or <br /> Concrete,Asphal <br /> Plywood,or a Tarl <br /> Propane Tank - - - <br /> ------------ <br /> Soap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fire Extinguisher <br /> EMra <br /> Water <br /> Ice Cooler ON',dfe!W�Wet"d'..° Y. �. "+� 1i 'rYt;!i @� I 5 Gal Hand wash <br /> Extra Ice Bags B Food Containers most be ,5 Wastewater Container <br /> stored 6 inches off of the ground! <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjgov.org/etfd <br /> EHD 16-02 Page B of 11 TEMP EVENT APP <br /> 06/19/19 <br />