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a <br /> SANJOAQUIN Environmental Health Department <br /> COUNTY <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 457 (if food is used the following day, maintain below 41°F temperature): <br /> ❑ Ice chests 0 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 /> ❑ 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 /> ®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 rinseMastewater. <br /> ® Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Nick Rosales 714-277-5803 <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 and oper ion. Return original to festival coordinator three weeks prior to <br /> this event. <br /> 14. Completed by: General Agent 5/21/2026 <br /> Signature Title Date <br /> Health <br /> Gal. <br /> Health Permit Hand wash Water <br /> Stemo wlChaKing <br /> E31sh <br /> Paper Hand Towels <br /> Soap tlispenser <br /> Cutting Beard Sanifizer bucket- <br /> bleach&wafer for <br /> Propane Sfova Bleach storing wiping cloths <br /> Booth must be an <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Soap and Water Rinse Water Bleach and Wale, Garbage <br /> Can <br /> Fire Extingulsher <br /> Ezfra <br /> Wafer <br /> Ice Cooler i 5 Gal Hand was <br /> h <br /> Ezlra ice Bags&Food Containers most be Wastewater Container <br /> sraed 6 inches offofthegnuund l <br /> 1868 E. Hazelton Avenue [ Stockton, California 95205 [ T 209 468-3420 [ F 209 464-0138 [ www.sjgov.org/ehd <br /> EHI7 16-02 Page 8 of 11 TEMP EVENT APP <br /> 06/19119 <br />