Laserfiche WebLink
Environmental Health Department <br />10 <br />11 <br />OR <br />12 <br />Q One separate tub (bucket or basin) for the collection of nnse/wastewater <br />13 <br />"•Important" <br />Completed by14. <br />Health Permit <br />Cjerw Hntf <br />: •; «*>;• j tor • <br />W.r*Bteecn andScap and Watfv <br />OWi <br />Title <br />Sumc a>Ch»*rs; <br />UX> <br />Signature <br />|r <br />Booth must be on <br />Cone rote, Asphalt <br />Plywood o' a tarp <br />r SAN,JOAQUIN <br />-- -COUNTV -• <br />trtra <br />i Gal «rash <br />»•<*<! te*r fxaitfWnpr <br />Garbage <br />Can <br />Date <br />Please make a copy of this application in <br />A copy of this checklist mus". be in the booth at all hours of <br />Return original to festival coordinator three weeks prior to <br />I r Wf <br />1)^ Water supply dispenser w>th warm water al a minimum of 100'F (i.e 5-20 gall' n ontamer Aith spigot) <br />I wm providing 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 4 !T temperature) <br />Xte’ch“<’ Q Refrigerator <br />O Relngerated truck Q Ice bath and tubs <br />Q Other (specify)__ ______ <br />I an providing tne foliowing items wrthm my booth for the sanitary cleaning of fcod preparation utensil <br />Xi Three compartment sink <br />Q Three deep tubs (basins 6-8 inches minimum), one for soapy water one lor rinsing and one for a bleach <br />solution (one tablespoon of bleach per gallon of water) <br />M Detergent bleach and wiping cloths (cleaning towels) <br />® Tub to store wiping cloths in bleach solution <br />I am providing the following for adequate hand washing facilities but separate from itens i wash within my <br />booth: <br />All food vendor booths are subject to inspection <br />preparation for this event <br />preparation and operation <br />thtyvent/-" <br />Ice Cooler <br />Kv 4 Food Conl»*>«'S muil f» I! <br /> s.'iwwl fl rKn»« <rf fr>» gnumd' ■ <br />Paper towels and pump-style soap container <br />Nam^b^^^onsibl^p^rsons^b^resent in booth during all hours of operation <br />1868 E. Hazelton Avenue | Stockton. California 95205 | T 209 468-3420 1 F 209 464-0138 | www sjgov org/ehd <br />EMO 16-02 Pag® fl olll TEMP EVENT APP <br />0tt2tl2023