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Environmental Health Department <br />OR <br />12. <br />13. <br />“Important** <br />14.Completed by: <br />Health Permit <br />Paper Hand Towels <br />Soap dispenser <br />Gulfing Board <br />Propane Stove <br />Beach <br />Soap and Water Rinse Water Bleach and Water <br />Fire Extipgusher <br />Ice Cooler <br />& Gal Hand wash <br />Wastewater Container <br />Extra <br />Water <br />Garbage <br />Can <br />S-20 Gal <br />Hand watli Water <br />1868 E <br />EHD 16-02 <br />07/3/17 <br />Stemo w/Chafling <br />Dish <br />ions to be present in booth during all hours of operation: <br />All food vendor booths are t ‘: <br />preparation for this event. A copy of this checklist <br />Propane 1 ank <br />---------------------------i <br />3 <br />Sanitizer bucket- <br />b! each & water for <br />I storing wiping Ooths <br />I z <br />t Booth must be on <br />Concrete. Asphalt, <br />Plywood, or a Tarp. <br />_____. ’ I /ce 8a7S 5 Food ConUvr^rs mist be I® <br />I sforad 6 incbesoffoftbe ground' ; ■ <br />Hazelton Avenue | Stockton, California 95205 | <br />Page 8 of 11 <br />10. <br />Zv??9 468"3420 | F 209 464-0138 | www.sjcehd.com <br />TEMP EVENT APP <br />V SANJOAOUIN <br />-COUNTY------ <br />Greatness grows here. <br />’ 45^X9is usX"ol“^^^ hazardous foods below <br /> ice chests S’Refrigerator <br /> Refrigerated truck Ice bath and tubs <br /> Other (specify) <br />2 □tSX'™Z Wifhin my b0°th f°r the 5ani^ cleaning of food preparation utensil <br />SJioMon: for soapy waleG one for rinsing and °ne for a bieach <br />LJ Detergent, bleach, and wiping cloths (cleaning towels) <br />U Tub to store wiping cloths in bleach solution. <br />'^providing the following for adequate hand washing faculties, but separate fran utensil wash within my <br />0 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 />Names of responsibte perei <br />SAbjJ?lto. Please make a copy of this application in <br />nrenaratinn onri n * rj -------"—mus* ’n booth at all hours of <br />thS■event operatlon Bgt.um original to festival coordinator three weeks prior to <br />— -Atz /hi(^?sWure Title-----------