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712a123, 1:53 PM imageo.jpeg <br /> n; <br /> S A N 1 O AQ U i N Environmental Health Department <br /> . f-. Y-,1_1 N - <br /> 10. 1 am providing the following coil temperature control for the cold holding of potentially hazardous foods below <br /> 45'F (if food is used the following day, maintain below 417 temperature). <br /> ,Ice chests Refrigerator <br /> efrigerated 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 /> hree 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 /> /61 '"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 bayth during all hours of operation <br /> P rL 0 o.J Frt/ <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 a eration. Return on inal to festival coordinator three weeks riot to <br /> this evenf. Ite <br /> 14. Completed by: SignatureTitle <br /> 5.20 Gai <br /> Hand wash Water <br /> Health Permit sternowlchatrnp <br /> Paper Hand 1aweYs <br /> Dish <br /> Soap dispenser <br /> Sanmxer burxef <br /> btaadt 3 water fpr <br /> Cuttn>0 Board stonnq wipnq cloths <br /> �VeaCh <br /> Propane store Booth must be o <br /> Concrete,Aspha <br /> plywood,or a Ta <br /> Propane Tank - - •.- .--. ._.- __.. <br /> Soap and Water Rinse Water Bleach and Wate+ Garbage <br /> Can <br /> ?:r Fire Extinguisher Extra <br /> 5 Gel Hand wash <br /> Ice Cooler Wastewater Container <br /> Extra rte Sags 6 Food Confiners must be <br /> stored 6 inches oft or the groundf <br /> T 209 468-3420 1 F 209 464-0138 I vrww TEMP EVENT AP <br /> .sjgov.org/ehd <br /> 186$ E. Hazelton Avenue 1 Stockton, California 9520ag1 6 Of 11 <br /> EHD 16-02 <br /> Mi114t14 <br /> https://mail.google.com/mail/u/o/#search/FLAVOR+F/KlbxLriNcfTMsLgKxQSPBgVfvpNJXvVIIB?projector=l 111 <br />