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J <br /> S A N J O A Q U I N Environmental Health 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 OF temperature): <br /> ( Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> gOther(specify).NIA CQttOItC.an-dy o-aly------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 pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Oscar Bender <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: <br /> Signature Title Date <br /> �,.. <br /> I t <br /> Health Permit <br /> I lnal Havor NUI r.I turrt <br /> ;u:>q efls{rensot <br /> Cut•inq Bn.azd 'Annae buc�m <br /> taeafb d wales r<,i <br /> {'I,q;tna Srovn ktul,✓.n natn•t�tMItIRg t.uth'.._ <br /> _ Booth must hn.JonConcroto.Asp[Ply%vood,or a I <br /> F+.aptr.a T�nh <br /> --------------- <br /> ata)Walter p-+,•,rt 4Vall.r <br /> .. f lint Al.Yt:MII'fl':Ilhr <br /> Garbago <br /> Cat) <br /> F IItt��t,Rgti;,ttM <br /> rice Cooler t 5 6N I/nnrl wn:h <br /> Cara Ico Aw.%6 rexrf Cnl04erw4 rn—f he �7 'Nnr.tmvatnt ccnt.unul <br /> zfurfxl 6 01:hah o?d I"gruta)rl' <br /> 1868 E. Hazelton Avenue 1 Stockton. California 95205 1 T 209 468-3420 1 F 2.09 464-0138 1 v:ww.slgov.orgiehd <br /> DID 16.02 Page 11 of t t TEMP EVENT APP <br /> OG/Z912023 <br />