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S A N J Q 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 /> 45°F (if food is used the following day, maintain below 41°F temperature): <br /> Q 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 /> solution (one tablespoon of bleach per gallon of water). <br /> Detergent, bleach, and wiping cloths(cleaning towels). <br /> [ Tub to store wiping cloths in bleach solution, <br /> 12. I am providing the following for adequate hand washing facilities, 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 rinselwastewater. <br /> ❑ Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <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 all hours of <br /> preparation a9d o eration. Return original to festival coordinator three weeks prior to <br /> this event. <br /> 14. Completed by: <br /> Signature -- itle Datfi <br /> I 5-20 Gal. <br /> Health Per Nand wash water <br /> Slerno wfCllafflnrq e <br /> pisii <br /> Paper Hand Tawe{s <br /> Soap tlispenser <br /> Cunirct Soartl Sanil zer busket- <br /> bleach&water for <br /> Propane 5love Bfeach storing wiping cloths <br /> Booth mustEeornConcrete,APlywood,or <br /> Propane Tank <br /> Soap and Water Rinse Water Bleach and water <br /> Garbage <br /> Can <br /> Fire Extinguisher <br /> Extra <br /> Water <br /> Ice Cooler 5 Gal Nand wash <br /> Extra Ice Bags 8 Food Containers most be Wastewater Container <br /> stored 6 inches off of the grounip <br /> 1863 E, Hazelton Avenue ( Stockton. California 952051 T 209 468-3420 € F 209 464-0138 1 www.sjgov.org/ehd <br /> EH7 16-02 Page 9 of 11 TEMP EVENT APP <br /> 06119f 19 <br />