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Ate' <br /> SAN JOAQUIN Department Environmental Health De <br /> ". COUN- Y--- <br /> ��r Greatness grows here <br /> g4trcoR!s�¢ <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 /> ice 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 /> o tion (one tablespoon of bleach per gallon of water). <br /> XDetergent, bleach, and wiping cloths (cleaning towels). <br /> ub 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 /> XOne separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation. <br /> Alan Leon, veunta dailey <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—eve�tt <br /> 14. Completed by: e- lc.��eo� President 4/8/24 <br /> Signature Title Date <br /> 5-20 Gal, <br /> Health Per Steno Hand wash'Water <br /> �ra`Ch atLnc <br /> �sr Paper Hanc Towels <br /> Soap dispenser <br /> ia,:Lr.3caro Sarorozer bucket- <br /> bleach!j water for <br /> Propane Stove 3leach stonna voping cloths <br /> Booth must be on <br /> O Concrete.Asphalt, <br /> Plywood.or a Tarp. <br /> Prord3ne Taro. <br /> Soap and Water Rirse`Na!er Bleach a,r Naler Garbage <br /> Can <br /> Fire Exty oursher <br /> Extra <br /> Water <br /> Ice Cooler `' ' S Gal Hand wash <br /> Extra Ice Bags B Food Containers must be JNaslewarer Container <br /> stored 6 inches off of the ground) <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 I F 209 464-0138 1 www.sjgov.org/ehd <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 0609119 <br />