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S A N J O A Q U I N Environmental Health Department <br /> i <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'F temperature): <br /> Ice chests ❑Refrigerator <br /> ❑Refrigerated 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 /> ❑Three compartment sink. <br /> OR <br /> '�XThree deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> s lution(one tablespoon of bleach per gallon of water). <br /> D44Detergent,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 /> VILWater supply dispenser with warm water at a minimum of 100eF(Le.5-20 gallon container with spigot). <br /> ROne separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> (Paper towels and pump-slyle soap container. <br /> 13, Names ofrre�ponsible person,%4o be resent in booth during all hours of operation: <br /> 'Important* All food vendor booths are subject to inspection. Please make a copy of this application in <br /> preparation for this a t. A copy of this checklist must be in the booth at all hours of <br /> reparation a pera ri_ R turn original to festival coordinator three weeks prior to <br /> s e nt <br /> 14. Completed by: L/ 3C� <br /> Sfgna a Title Date <br /> "."7!+s''t. '"�' 0 5.26 Gal <br /> Man-wash Water <br /> Health Permit sten,ewx�arrw,g <br /> Onh <br /> Paper Hand FawWs <br /> Soap dtanermer <br /> C�ltine Board Sani izo bmkatf <br /> bteach&water for <br /> Propane Stove Bleach stomg"spIN ddhs <br /> Booth must be on <br /> O Concrete.Asphalt. <br /> Plywood,or a Tarp. <br /> Yrooen0 Fmk <br /> ------------ <br /> Soap and water Rinse water aieaa and Water Garbage <br /> Fi Can <br /> re Exhnpulsher <br /> ExVa <br /> wrier <br /> Ice Cooler u.1is?� _ ate, r:;i 5Gat Hand"sh <br /> Ezrra rue Bags d Food Conesirwrs muse be ; wasteweter eonlawwr <br /> sforad 6 echas afr of Iha 9=ndt F' <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EH4 1"2 Page B or 11 TEMP EVENT APP <br /> 06119/19 <br />