Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br /> --COUNTY-- <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 T temperature): <br /> 211ce chests ❑ Refrigerator <br /> ❑Refrigerated truck e'lce bath and tubs <br /> ❑Other(specify) <br /> 1. I 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 /> tergent, bleach,and wiping cloths(cleaning towels). <br /> tYTub 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 /> EIlater supply dispenser with warm water at a minimum of 100°F(i.e.5-20 gallon container with spigot). <br /> 2-16ne separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> N waper towels and pump-style soaQ container. <br /> 13. Names of pons'bl persons to be gresent 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 an ation. Return original to festival coordinator three weeks prior to <br /> 14. Completed by: this event IX <br /> Signature True '�a� <br /> &2o Gal. <br /> Health Permit Hand wash Water <br /> Stemo wlChafCng <br /> Dish <br /> Raper Hand Twrets <br /> Soap dispenser <br /> Cuthnp Boats Sanitim hurket- <br /> bloadt&water for <br /> Prppene Stine Bleach SIM8 WWM doths <br /> Booth must be on <br /> Q Corx;mte Asphalt, <br /> Plywood,ar a Tarp. <br /> Soap and Wa6ar Ike Wafer Bleach and Waterba" <br /> Gar <br /> FireF�linpuisher <br /> Can <br /> Extra <br /> Wabr <br /> rice Cooler ra: >:- . ,gam r3:":"'. 5 Gal Hand wash <br /> EKfra 1.Sags d Fomr Conbiters must he E ash"ader Container <br /> r .. skied B Writes off of the gurrN <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 j F 209 464-0138 1 www.sjcehd.com <br /> E7/3 16-02 <br /> a�r�1 7 Page 9 of 11 TEMP EVENT APP <br />