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SAN JOAQUIN Environmental Health Department <br /> uN- <br /> 10- 1 am providing the folkrwing cold temperature oOMO for the cod holding of pcxentalry hazardous fo Cs vel'ow <br /> 45`F Iit toad is used the following day.maintain below 4t-F temr erature}: <br /> ® Ice chests ❑Refrigerator <br /> ❑ Refrigerated truth ❑t1.e bath and tubs <br /> ❑Other f specify i <br /> 1 1_ I am providing the following items within my booth for the sarutarj c9earung of food preparation utensil <br /> ❑Three cornpartment r:j nk_ <br /> OR <br /> 0 Three deep tubs Ibasns b-,B inches minirlurnl coe for soapy water. one for rinsing and one for a bleach <br /> solution lone tablespoon of bleach per gatz,n cf water;. <br /> Detergeru,bleach,and wiping cloths icle.anrng towels). <br /> Two to store wipog cbths in bleach solution. <br /> 12_ 1 am proHduig the following for adequate hand washing facilities. but separate from utensil wash within my <br /> v ooth <br /> ® VVater supply dispenser with warm water at a minimum of 100"F(Le. 5-20 gattorl container with spigot)_ <br /> ®One separate tub (bucket or bas n) for the collection of rinse"wastewater. <br /> ® Paper towels and pump-stoe sc container. <br /> 13. Names of resoonsrble pefsons to be present in booth"during all hours of operation_ <br /> Ganelle Am. a fi ur 5.1ev+iwiie Du•rba• <br /> "Important^ All food vendor booths are sect to inspection. Please make a cooy of this application in <br /> preparation for this event A copy of this checkW must be in the booth at all hours of <br /> preparation and operation_ Realm aridnal to te■thml cootdinebur 11111ae weeks orkw to <br /> 14. Compdetee by: owxle+ at22r2024 <br /> @gn alure Title fate <br /> 5-M Go <br /> Health Permit "WV h wow <br /> a.c <br /> _ pw�►4aa <br /> Sztp�anar �� <br /> C us+g e[.w•d rA azw Gri..- <br /> r- <br /> 6 <br /> 1 <br /> 1 Concrete.Asphalt. <br /> Plywood.or a Tarp. <br /> P.W. -r., �J <br /> Gamage <br /> �n <br /> rw cnew.r. -' <br /> wadi <br /> 1 <br /> ric <br /> 8 Ci00�Br s t:.r�VANS <br /> [asa!a A��rood Gstsua�a"v.a d x....r Crate. <br /> - aoi.e a ne.:d of ri Ra.v <br /> 18158 E. Hazelton Avenue Stockton".California 95205 T 209 468-3420 1 F 209 464-9138 ww*.slgov.org'ehd <br /> EMO 1612 pa"a d 11 TEMP EvENT APP <br /> ft!2L Xa3 <br />