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wLf <br /> • <br /> S A N J O A Q U IN Environmental Health Department <br /> 10. f am providing rho following cold temperature corgrol for the Cold holding of potentiatty hazardous foods below <br /> 45'F(if food is used the following day,marrtain below 41•F temperature); <br /> ce chests ElRefrigerator <br /> Refrigerated truck ,_Joe bath and tubs <br /> ❑Other(specify) <br /> 11. I am providing the folkwrg Items within my booth for the sanitary clearw-ig of food preparation txtensd <br /> ❑Three comparlmenl sink. <br /> OR <br /> Three deep tubs (basins 8-8 inches minimum), one for soapy water, one for rinsmp and one for a bleach <br /> lution(one tablespoon of bleach per gallon of water). <br /> 4�eteXgent,bleach, and wiping cloths (cleaning towels). <br /> st b to ore wiping cloths in bleach solution. <br /> 12. I am providing the following for adequate hand washing facli tees, W separate from utenrol wash within my <br /> booth: <br /> 34wler supply dispw ser with warm water at a minimum of 100'F(i.e. 5.20 gallon container w4h spigot). <br /> Mne separate tub(bucket or basin)for the WlWion of rinse1wastewater. <br /> Leper towels and pump-sfLft soars container <br /> 13. N �Or)!5i le persons to be present in booth during all hours of operalon <br /> i P <br /> "Iltnparhnt" 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 /> prpparaWn and operakw. priginal to festival coordinasor three w k <br /> 14. Completed by: <br /> signature Title D to j <br /> Health Permit r i�a.�ar'wrM <br /> 9M��a,rKnNsp 'ti <br /> G.h <br /> Paw 1-wo low*$ <br /> =AAi Yafro . <br /> Mod L"Ur bF <br /> �+".arr.'Slrt j I n�►� mnp,r«•q y�►s <br /> I�11 &xen must be on <br /> I Concr4eh,Asphalt <br /> Plywood.or a Tarp. <br /> SOW Wia ww a,w Now. aw&n.+y W_ <br /> Garbage <br /> Can <br /> f,, ►..mawrr -�, <br /> U 1 <br /> Ice Cooler lGfi-If.tl nn p <br /> bow to"Ma rood:aoftft..mw a wwrnr«fiow�. 6 <br /> qvWd f.MM off d m!rVA41 9 <br /> 1666 E Caldrrnia 95205 T 2019 465-342'Ll F 209 A64-D13. I •dr+vw.stgoV can ehd <br /> M 23 Pegs 8 er 11 TEpp 6SO Apo <br />