Laserfiche WebLink
Environmental Health Department <br />10. <br />11. <br />OR <br />12. <br />13. <br />•‘Important** <br />Completed by:14. <br />I <br />| f’lopnnoTm* <br />Ice Cooler <br />/■ <br />( <br />5-20 Onl. <br />I land wash Wnltw <br />SnaMzor buckot- <br />blondi & wnlor (or <br />loring wiping Cloths <br />Booth innsl bo on <br />Concrete. Asphalt. <br />Plywood, or a Fiup. <br />/ xfni (co (logs f. I'ood CotMiou must bo <br />sloicd 6 Inches oil ol IM groumil <br />Stornow/Chnflino <br />Dish <br />Garbage <br />Can <br />J’sipor Hand Towels | <br />SAN JOAQUIN <br />COUN I Y <br />ovia™ the following cold temperature control for the cold holding of potentially hazardous foods below <br />(if food is used the following day, maintain below 41 F temperature). <br />Refrigerator <br />Ice bath and tubs <br />132 <br />| | Ulnso water | | lllonch mid Water J <br />^Txtra'A <br />Water <br />J lllench <br />- • - 209 468-3420 1 F 209 464-0138 | www.sjcehcFctjm <br />p.icjoflof 11 <br />| Soap mid Water <br />lire Kxllngulahor | <br />| Cirthng Iteiinl <br />| Crop-lMO l.h'vn | <br />| Soap disponsor | -- <br />Water supply dispenser with warm water at a minimum of 100T (i.e. 5-20 gallon container with spigot). <br />j^One separate tub (bucket or basin) for the collection of rinsc/wastewater. <br />fy Paper towels and pumprstyle soap container. <br />-------------------- <br />So I r <br />1868 I . I lazelton Avenue | Stockton, California 9520'H J , <br />I HO 16 02 <br />OZ/3/17 <br />I lealth Permit H <br />I am providing the <br />45°F(.......... <br />Nice chests <br />^Refrigerated truck <br />□ Other (specify) <br />I nm providing the following items within my booth for the sanitary cleaning of food preparation utensil <br />ni Three compartment sink. <br />fchree deep tubs (basins M inches minimum), one for soapy water, one for rinsing and one for a bleach <br />Sution (one tablespoon of bleach per gallon of water) <br />•EZj Detergent, bleach, and wiping cloths (cleaning towels). <br />KJ l ub to store wiping cloths in bleach solution. <br />lam providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />SGnHIandw.-isli , <br />W.islowatef Contalnor