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S A N J O A Q U I N Environmental Health Department <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45OF (if food is used the following day, maintain below 41 OF temperature): <br /> Dice chests ❑ {refrigerator <br /> ❑ Refrigerated truck ❑"fie bath and tubs <br /> a6t-her(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 /> ET-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 /> ErQetergent, bleach, and wiping cloths (c)eaning towels). <br /> aTub 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 /> [Pater supply dispenser with warm water at a minimum of 100°F (i a 5-20 gallon container with spigot). <br /> [ 'One separate tub (bucket or basin) for the collection of rinse/wastewater <br /> E Paper towels and pump-style soap container. <br /> 13 Nafpe.spf responsible persons to be present in booth duringall ho rs of operation: _ <br /> C j <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 al! hours of <br /> preparation a ,operation. Return briginal to festival coordinator three weeks prior to <br /> this eve <br /> 14. Completed by / <br /> Signature Title Date <br /> 5.2o Gal <br /> Health Per Hand wash Water <br /> Sterna w1ChaRing <br /> psr. <br /> Paper Hand Towels <br /> Soaa d,soenser <br /> Cutnng Board 5andizer buckel- <br /> bleaph$water for <br /> Propane Stove Bleach storing wiping clolns <br /> Booth must be on <br /> O Concrete,Asphalt, <br /> Plywood. or a Tarp <br /> Propane Tank <br /> Soap antl Wale R,mse Water Bleach and Water <br /> Garbage <br /> Can <br /> Fire Extinqusher <br /> Extra <br /> Water <br /> f <br /> Ice Cooler j°"—? F ' el 5 Gal Hand wash <br /> Extra Ice Bags&Food Containers must De wastewater Conlawer <br /> stared 6 inches off of the ground' 1 <br />