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Gmail - TFF7/16/24, 2:23 PM <br />SAN JOAQUIN Environmental Health Department <br />10 <br />11 <br />OR <br />12 <br />y Water supply dispenser with warm water at a minimum of 100 F (i e 5-20 gallon container with sp^ct) <br />3 One separate tub (bucket or basin) for the collection of nnse/wastewater <br />S Paper towels and pump-style soap container <br />13 <br />••Important* <br />ftCompleted by14 <br />Health Permit <br />Soar <br />41 8-«*r JTd Wa>« <br />I ( .'.'ViVar <br />Ice Cooler <br />3/6 <br />5 f.lai H*r»i <br />Ccrtarw <br />I <br />W«tw <br />I am providing the roilowing items within my booth for the sanitary cleaning of food preparation utens-i <br /> Three compartment sink <br />Cartage <br />Can <br />*V-rvJ oor* <br />Bocl’i must be on <br />Conciete Aspha.t <br />Plywood or a Tarp <br />I am provid ng the following cold temperature control for the cold holding of potentially hazardous foods below <br />45 F (rf food is used the following day maintain below 41 F temperature) <br />2J Ice chests Refrigerator <br /> Refngerated truck Ice bath and tubs <br /> Other (specify)________—------------------------ <br />I am providing the following for adequate hand washing facilities but separate from utensil wasn wtn n my <br />booth <br />L>»v <br />iJO GW <br />Kjr»- >S«w <br />r <br />R /.'*«- <br />Ail food vendor booths are subject to inspection <br />preparation for this event <br />preparation and operation <br />this event <br />Please make a copy of this app cation m <br />A copy of this checklist must be m the booth at a hours of <br />Return original to festival coordinator three weeks prior to <br />f »!r» e*9> 4 ■ <br />CfnrHAn rahfnfnis QA50S I T 70Q4Rft-’W70l F 709 464-0138 www SiOOv Oro ehd <br />C T- oQ-.X I <br />DateTitle <br />V Three deep tubs (basins 6-8 inches minimum), one for soapy water one for rinsing and one for a b'each <br />solution (one tablespoon of bleach per gallon of water) <br />X Detergent, bleach and wiping cloths (cleaning towels) <br />2? Tub to store wiping cloths m bleach solution <br />IHCfi C Awaoi.w I <br />https://mail.google.com/mail/u/0/?ik=056fe5b4de&view=pt&search=all&permthid=thread-f: 1804170426910067046&simpl=msg-f: 180417042691006704... <br />Names of responsible persons to be present m booth during all hours of operation <br />fteyi t yZViriS £>e.yxi________ <br />, < .1^ <br />Signature