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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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11. <br />OR <br />12. <br />'0 Waler wppty dispenser with warm water at a minimum of 100*F (i.e. 5-20 galon container wrth spigot). <br />13. <br />•’Important" <br />14. <br />Heaitn Permit <br />Papal nMTaMtl <br />Soap <br />«r<>3 fidat <br />Ice Cooler <br />fartvtjirriwr <br />iLxitm. <br />5 Go Hard Maar <br />AaMMM Cu^arwtJf* CcMarMra -mi aa <br />Mkr« ( n>«* offefftaprewcff <br />Saram bucaat. <br />tNaMMktx <br />aoarp wng <**• <br />WO Gai. <br />Hanjaa* ftnt <br />SaitwOai'^) <br />DW> <br />A’KM <br />■ <br />I vn providing tw tokN^ng oM tomperatra (snlral for fw oM hotf^ of pctanlafjr hMRtot* twit bakw <br /><5T (Ifood li urod foe folowfog day. maintain below 4IT fomparaturo) <br />X)foa cheats □Refrigerator <br /> Rafogeratod truck Ice bato and lube <br /> Ofoer (specify)_______________________________________________ ___ ____________ _ <br />i am providing the foltowing for adequate hand washing facilities, but separate from utensil wash withn my <br />booth: <br />S3 One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />l2 Paper towels and Dumo-stvle soao container. <br />Gvt)aga <br />Can <br />Booth murt ba on <br />Concraie. AapMR. <br />Ptywocd. or a Tarp <br />SANIOAuOIN <br />COUN?"v <br />XJ Three deep tube (basins 6-8 inches minimum), one for soapy waler, one for rinwng and one far a blaach <br />soiubon (one tablespoon of bteech per gallon of water). <br /> Detergent, bleach, and wiping cloths (cleaning towels). <br /> Tub to store wiping ctolhs in bleach soiubon. <br />1868 E rt&zenoc Avenue Stoc*ton Casrtomui 95205 | T 209 468-3420 | F 209 464-0138 | www sjgov.org/ehd <br />jtjo <br />I <br />Names of responsWe persons to be present in booth during all hours of operation: <br />K\(\Uan6< VCMk-VC ________________ <br />i am providing the blowing items within my booth for the sanitary cleaning of food proparalton utenwl <br /> Three comparbnent sink. <br />3W M«3 A «Jm Wr«K A (tar <br />All food vendor booths are subject to inspection. Please make a copy of this appfcabon in <br />preparation for this event. A copy of this checklist must be m the booth at an hours of <br />preparation and operation Return original to festival WQrdinytpf thftt weeks pogr to <br />this event- — r—i- -Completed by: \ | (I If 11 U-Vj L Vi J________ <br />W Signature Title Date
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