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REC-008 <br /> SAN,JOAQUIN a <br /> Environmental Health Department <br /> 10 1 am lo"wk ing the kAowing cold temperature corttral for the Crud holding of potentially hazardous forAs below <br /> 4ce <br /> F i it fcod is used the foliowin da rmairhain below 41-F temperatures <br /> chests Retrigerator <br /> rigerated'rmk bath and tubs <br /> t,specilyI _ <br /> 11. providing the following itenes within my booth for the sailary cleaning of trsA- preparation utensi <br /> 0ov <br /> OR compatrnent sink. <br /> [Drbree deep tubs Ibasis 6-8 inches nwwnurnl. one Icir soap water_ one for rinsing and one for a bleach <br /> (one tablespoon of bleach per gallon of wateri. <br /> ergent.bleach. and wiping cloths{cleaning towels 1. <br /> Dub to store wiping maths in bleach solution. <br /> 12_ 1 am providing the following for adequate hand washing faairties. but separate from utensil wash within my <br /> booth: <br /> 1 yrlater suppi y d ispenzer with warns water a1 a minmunn of 100'F�.e. 5-20 gallon conw%er with spgot)_ <br /> 'D�ne separate tub ibucket or basin) for Me colkclion of rins&wasfeewater <br /> Raper towels and Dffrdp-stylsoM container. <br /> 13 Names of responsbie persons to be present in booth dungy all hours of operation: <br /> Daniel& Cecilia Guv <br /> "Important" All food vendor booths are subject to inspecDua 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 hr}ilrs of <br /> preparation and operation. MkUm griQnal to trlsfival t: jrior 1a <br /> tlra even. <br /> 14. Co+npiciedby: _' C�`,y ,r_r 041$;2024 SUBMIT <br /> Signalure Title Dabs <br /> s.c r.0 <br /> Heakh Permit <br /> ra.i a.wr.r <br /> rvcas-a.ee.s:.x.s I fit, , Iq W;-14 do <br /> l� <br /> 8000.mud me Dr <br /> Cnrcrere.A=tmE <br /> PVWMC or a Tara. <br /> I-A7:[L <br /> Lit' <br /> �1 <br /> Ago <br /> fife _ <br /> •nr.' <br /> Ice Cooler <br /> [rn J•.Cg i ram rar.Ura 1e.te. Wa►arav[e:a <br /> 1868 E. Hazelton Avenue 1 Stockton.Caktornia 95205 T 209 4f,8 3420 1 F 209.4fA-0138 1 www.sjgov.org'ehd <br /> Eta 16+12 Pop id h i TRIP EVEif i APP <br /> Ortl 4'i4 <br />