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S A N J O A Q U I N Environmental Health Department <br /> 10. l 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 /> ❑ Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> olution (one tablespoon of bleach per gallon of water). <br /> etergent, bleach, and wiping cloths (cleaning towels). <br /> EK Tub to store wiping cloths in bleach solution. <br /> 12. 1 am providing the following for adequate hand washing faciiifies, 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 rinse/wastewater. <br /> '*-F Paper towels and Pump-style soap container. <br /> 13. Ves of re onsible persons to be present in booth during all hours of operation: <br /> "Important" All food vendor booths are subje inspection. Please make a copy of this application in <br /> prepara ion for this eve copy of this checklist must be in the booth at all hours of <br /> prgoration perati eturn orl inal to festival coordinator three weeks prior to <br /> this ve + <br /> 14. Completed by: <br /> Sign a Title III&e <br /> 5-211 Gal. <br /> Health Permit Hana wash Water <br /> Slemo w/C 17ing <br /> DVsh <br /> Paper Nand Tnwels <br /> Snan dls{xrnser <br /> Culling Board sanitize bucksl- <br /> bleach 8 water for <br /> Plnpane$IOVe Blsa[:h <br /> storing wiping doths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> - 1 <br /> Propane Tank u- <br /> soap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fare EkUnpUi$rler <br /> Exha <br /> Water <br /> { r1ce Cooler 5 Gal Hand wash <br /> \� Enara ice Bs ag d Foad Conaarnera must be Wastewater Coniamer <br /> stared 6 rnchea off at the ground! <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 ) T 209 468-3420 F 209 464-0138 t www.sjgov.org/ehd <br /> EHO 16-02 Page 8 of 11 TEMP EVENT APP <br /> 06119119 <br />