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S A N D OA Q U I N Environmental Health Department <br /> C(iU; 1 'Y <br /> 10- t m P(rorideV fo6oirrlrtg CM�aX*d for the cold twirling of P h mods beiank <br /> El ice (if bod is used 9* tg t day.�1tai11 below 41 aF ). <br /> sts <br /> ❑RefrKprated muck ❑roe bath and Ux <br /> ❑other <br /> 11. f am ProvidQtg Ow Wuwirtg iterm wnMn my booth for the sarvtary CIO@rdN of food prepara5m uteesil❑Three eor4artirw t Sir& <br /> OR <br /> ❑solaAt+oThmen deep!ems(besm 6-8 n2m rrtatlnxan), ono for soapy ne water, o for rrr�g and one for a bleach <br /> ❑betergerd. and WPM cJ ne tMAespoon of bleach tl s <br /> ElTub to store wWV d�In bleach 9*tm g ) <br /> 12. 1 am pV+WbV the k&wft for adegkuate NNA * ficE ies, cut sapamte fran, utenmyl wash within my <br /> booth: <br /> ❑Weser w th►raM water at a mffw ffn of 1 QO'F(1 e_5-20 99kn awaakwN vrM spigot). <br /> ❑one separate tub(b udcet or basal)for the coliacbm of MwnNMWwBW <br /> ❑Psper vowels and pw't p-sb ie cram oorrtani . <br /> 13. Name$of Msponw'bte Persons to be Present in booth an hours of <br /> d�9 operation: <br /> DIA114 4,G a <br /> 'nMPOrhWd" AD fkxA vowfor booths am a d4ed to ffmpecbW Please Mske a copy of this aPplicabon in <br /> far flue Ment A copy of this crust be to the booth at aQ hours of <br /> PreparaWn and operahoR RMUM <br /> Oft Lator am W-80M DEW <br /> 14. Compk4od by- .�-,•4�. . , S L'Z� <br /> Twe Date <br /> Agnatlue <br /> tieh Permit sat OIL <br /> slmo* +a mod r Wow <br /> ors <br /> �Nod reams <br /> s�apa,� <br /> sad .o.ceeE <br /> s'toyar sr.. **wh a.dm.lq. <br /> s� satry abhl dolls <br /> _ et>tolh mw3 ha on <br /> Carrra0e.AsPtralt, <br /> PFjwoor�,or a Tarp. <br /> F+�ad rr�r Rloa�rralr Ebwch wd rramr <br /> can <br /> R+br <br /> 6 QI Hrd re,b <br /> Bra ka�L FLay Cr�Ysa�srle rrae.e..^--��- <br /> 1863 E Hazelton Avenue Stockton, Califomka 95205 1 T 209 468-3420 1 F 209 464-0138 www.sigov.orgfehd <br /> E►to 1a= <br /> 6pry Yrf 9 P"P 8 at11 TEMP EVENT APP <br />