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<' = ` S A N.J O A Q U I N Environmental Health Department <br /> ►._l C O U N Y_.._...... <br /> 6rpotnes5 Qrows he— <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°F temperature): <br /> 9Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. 1 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 /> sol ion (one tablespoon of bleach per gallon of water). <br /> Detergent, bleach, and wiping cloths (cleaning towels). <br /> [Flub 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 /> water supply dispenser with warm water at a minimum of 100'F (i.e. 5-20 gallon container with spigot). <br /> VOne separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> P/Paper towels and pump-style soap container. <br /> 13. N mes of responsible persons t be prese in bo th during all hours of o eration: <br /> 1�10\ -G o ZA ll, <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 and operation. Return original to festival coordinator three weeks prior to <br /> this event. , <br /> 14. Completed by: �LUlsiLt� !'O <br /> Signature Title ate <br /> :== t <br /> 5-20 Gal. <br /> Health Per Ste <br /> mit Hand wash Water <br /> mo wlChaffing <br /> Dish Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board Sanitizer bucket- <br /> bleach&water for <br /> Propane Stove Bleach storing wiping cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> 4 ' Plywood,or a Tarp. <br /> Propane Tank <br /> Soap and Water Rinse Water Bleach and Wafer Garbage <br /> Can <br /> Fire Extinguisher <br /> Extra <br /> Wa[er <br /> r.1--- <br /> Ce Cooler " , 'Ii 5 Gal Hand wash <br /> Extra Ice Hags&Food Containers roust be Wastewater Container <br /> ..._.__-._._.,._.._- stored 6 inches offof the ground! <br /> wnnn r I i___li__ n_.__.._ r nrnnc I T nnn In <br />