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7/26/23,3:27 PM 20230724_142217.jpn <br /> S A N J OA Q U I N Environmental Health Department w <br /> 1.0, 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 tub, <br /> ❑Other(specify) <br /> i 1. f am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> .VrThree 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 /> ram., <br /> ❑Detergent, bleach,and wiping cloths(cleaning towels). c, o <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 /> ,Zwater 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 daring all hours of operation: <br /> d% rl Y 1 e <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 i <br /> preparation nd operati Return original to festival coordinator three weeks prior to <br /> this even �a Z I1 <br /> 14. Completed by: <br /> Sigr Title Date <br /> .��q�l'4'fdi9A'1YNA110, gyp' 520 Gal a <br /> Health Permit �' Hand wash Water <br /> Slemo w/Chaning <br /> Dish j. <br /> Paper Hand Towels <br /> Soap dlsponser <br /> Cumng Board Sannzer bucker- <br /> bleach&water for <br /> Propane Stove Bleach slating wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Fa Plywood,or a Tarp. <br /> m <br /> Propane Tank .. <br /> SV �. Soap and Water Rinse Water Bleach and Water <br /> ,��;��• Garbage <br /> Can <br /> Firo Extinguisher <br /> Extra <br /> Water <br /> Ice Cooler 5 Gal Hand wash <br /> �Exltns Ice Bags&Food Containers must be Wastewater Container <br /> ..._-........,.,_................._..,_,,....: red6mchesof,olthagrormdr <br /> 1868 E. F agelton Avenue j Stockton, California 95205 1 T 209 468-3420 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHD 18.02 Page 8 of 11 TEMP EVENT APP <br /> 06/t9H9 <br /> I <br /> https://mail.google.com/mail/u/0/?tab=rm&ogbl#inbox?compose=new&proiector=l ,,, <br />