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7/24123;2:37 PM 20230724_142217.jpg <br /> i <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 potentiatly hazardous foods below <br /> 45'F(if food is used the following day,maintain below 41°F temperature) <br /> ❑Ice chests ❑Refrigerator <br /> ,2r"Refngerated truck ❑Ice bath and tubs <br /> ❑Other(specify) <br /> 11. 1 ark 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 far 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 100eF(i.e. 5-20 gallon container with spilt"). <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�}{�}^�ring gall hours of operation: <br /> F /.— I <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 /> prepara" d opera%' . Return original to festival coordinator three weeks prkw to <br /> this event <br /> 14. Completed by: f ti <br /> Sig Tide Bate <br /> 546 Gal <br /> Hand ash Wam <br /> Health Permit <br /> Sieaw wiChalfinp <br /> Dish Paper Fkmd Tpr.ele <br /> 5oxp U-spenaor <br /> G�ding Baartl Saniaxer Mwrel- <br /> wach 6 water for <br /> Bleach slonng-png owne <br /> Propane Siaye <br /> BD01h must be On <br /> Concrete,Asphalt, <br /> 'r Plywood,a a Tarp. <br /> prcparr TaN <br /> Soap and Water Rinse Water Bleach and Water Gaq „e <br /> Can <br /> -- Fire Envqushei <br /> E+tra <br /> wsler <br /> Ficeooler ; 5 <br /> ke BW a Food Carlraaters ffvw be WasteMaler contai..___.._-- .troved8ntrecs oMd/re quad <br /> iehd <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 j f 209 464-0138 1 www.sjgov.or ENT <br /> EHO 16-U Page B of 11 TEMP EVEN'APP <br /> 4farM9 <br /> httpsalmail.google.com/mail/u/0/#inbox?projector-1 1I1 <br />