Laserfiche WebLink
Environmental Health Department <br />10. <br />ithin my booth for the sanitary cleaning of food preparation utensil <br />11. <br />OR <br />12. <br />13. <br />“Important** <br />Completed by:14. <br />PoporHnnd Tuwuh <br />I’fop.me Stow <br />I <br />llloach nnd Waler <br />f.Min <br />Water <br />Garbage <br />Can <br />Sarutirerbucxol- <br />bloacJi 6 waler for <br />slorlng wiping dolhs <br />Booth must bo on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />SAN JOAQUIN <br />( a 'I II ; I t <br />5 Qnl Hand waa-l <br />Wnslow.itor Container <br />—Q <br />Ice Cooler ' <br />_z <br />Soap and Wnlrv <br />I860 E. Hazelton Avenue | Stockton, California 95205 | T <br />EHO 1G-07 <br />07/3/17 <br />Rinse Water <br />Soap dispenser —, ' <br />nieac/t I <br />atli <br />-■ - 209 468^3420 | F 209 464-0138 | VWW.sjcchd.com <br />Pago fl of 11 <br />Cullno Uonrd -------- <br />4if <br />I iiiottdinguishor <br />, ■"'"r±h.a‘‘45T (if food is used the following day. maintain below 41 F temperature). <br />0 Ice chests [^Refrigerator <br />^Refrigerated truck lce bath and lubs _____ ____________________ _ <br /> Other (specify)__----- ------- ------- <br />r•« ■■ -■:— <br />f.lrj leo l/ags A f oed ContJfncn. musf to • <br />slorvd 6 tocl.cs oil o/ tho g'oundl <br />I am providing the following items wi <br />Three compartment sink. <br />□ Three deep tubs (basins 6-8 inches minimum) one (or soapy water, one for rinsing and one for a bleac r <br />solution (one tablespoon of bleach per gallon of water) <br />n Detergent, bleach, and wiping cloths (cleaning towels). <br /> Tub to store wiping cloths in bleach solution. <br />, am providing (he folJowing for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />ra Water supply dispenser with warm water at a minimum of WOT (i.e. 5-20 galion container^ spigot). <br /> One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />® Paper towels and pump^stylesoap container. <br />Names^s^pers^t^ye^^^^^^---------------------------. <br />^Son and'opeXn. <br />Ivyrmyrr-rr- rr] <br />j Health Permit [• | Slt,mo„ci>an>w I <br />I o o <jU y\z v~ <br />Title <br />5-2O Col. <br />Hand vraihWotor