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1600 - Food Program
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PR0515203
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COMPLIANCE INFO
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Entry Properties
Last modified
6/28/2026 12:22:57 PM
Creation date
6/28/2026 12:18:23 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0515203
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0007331
FACILITY_NAME
ESCALON PARK FETE
STREET_NUMBER
0
STREET_NAME
MAIN
STREET_TYPE
ST
City
ESCALON
Zip
95320
APN
22715503
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\bmascaro
Supplemental fields
Site Address
MAIN ST ESCALON 95320
Tags
EHD - Public
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10. <br />11. <br />12. <br />Paper towaSs and pump-styls sogp container. <br />14. <br />Date <br />Health Permit <br />pMarHM^YwMte <br />Soapdfapanaar <br />BM <br />Propane Sova <br />OlxJLr <br />RupaneTank <br />JI eaetfianaWMar <br />rw&Watw I <br />Ice Cooler <br />TEMP EVENT AFPPaoefloHI <br />Scanned with CamScanner <br />EHD 18-02 <br />08/1W18 <br />£*a toe Ba«a « Food Oo^Hen mnI ba <br />tovW • taRw afftf fie fbimF <br />Dtoh <br />SOtortMiMadi <br />WirtuewrOonaaner <br />Gatiage <br />Can <br />SanAzarteictel- <br />tf h Iweaartai <br />eKMtogPtotogctotfa <br />Booth must be on <br />Concrete. Asphalt, <br />Plywood, or a Tarp. <br />oww <br />Title <br />**ln\oortant** <br />! am pravldinc the tetter.; Rems v.ithtn my treeth far the ssrstry <br /> 1 nrce compartment tinK. <br />JZfThree deep tubs (basins 6-« Inches minimum), one Tor soapy water, one for rinslnp and one for a bleach <br />Wjtion (one tablespoon of bleach per ge'on Wcer> <br />yQDetei^ent, bleach, and wiping dolhe (cleaning lowtrfa;. <br />/0Tub to store wiping cloths In bleach solution. <br />1 am providing me Stowing Tor sCiequrtra frarTtr wet4H.W 'out sapansra 7mm dten^li wasn wiimn my <br />booth: <br />I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />45aF (if food Is used the following day. maintain below 4VF temperature): <br />^flce chests Refrigerator <br /> Refrigemteri tmdc D Inn hath Anri h ib« <br /> Other(ipecify)__-------------------—--------- <br />MU.y *.«.**< <br />J^Wster supply dispenser with warm water at a minimum of 100”F (l.e. 5-20 gallon container with spigot), <br />^^fone separate tub (bucket or basin) for the collection of rinse/wastewater. <br />All food vendor booths are suhled to Insoedlon. Please make a copy of this apollcailon In <br />preparation for this event. A copy of this checklist must be In the booth at all hours of <br />prefjanhion arfd^peration. Return original to festival coordinator throe weeks prior to <br />'^W^ature <br />3QO T~Z <br />SMQwlWMr ntiMWaw <br />13. Names 6t resoonstble persons to be present in booth during an hours oi operation- <br />Cav.\/p^ _________ _____ <br />ctecreng c! ‘.cod proparotsn utensil
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