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. . <br /> S A N J O A Q U I N Environmental Health Department <br /> 10, 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45`F <br /> (if food is used the following day. maintain below 41"F temperature): <br /> ❑ Ice hests ❑ Refrigerator <br /> efngerated truck ❑ Ice bath and tubs <br /> ❑ Other(specify) <br /> 1 1- I am viding the following items within my booth for the sanitary cleaning of food preparation utensil <br /> hree 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 /> solution (one tablespoon of bleach per gallon of water)- <br /> ❑ Detergent. bleach, and wiping cloths(cleaning towels). <br /> ❑ Tub 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 /> ❑ One separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> ❑ Paper towels and pump-style soap container. <br /> 13 Names of respo le perrss,ons to bp present in booth dunng all hours of operation <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. Retum original to festival coordinator three weeks prior to <br /> this eve <br /> 14. Completed by: _ IS12 <br /> Signature Title Date <br /> `.rnl Gal <br /> Health Per rCna band wa>n Water <br /> mit <br /> Sterno wftrg <br /> Dsn Papa iiwnd Towds <br /> Sarp dspcv�se• <br /> (Cat�rr,:tiara &-"Uzw bucSet- <br /> bleadh d gate,for <br /> Pi uLar.t;:h:;,e <br /> E31ea':.n S30.1 Wpng cloths <br /> Booth must be on <br /> [:: <br /> ete,Asphalt, <br /> d,or a Tarp. <br /> R.Aaw <br /> Propana Tangy <br /> Soap and Watu, Rance Water BtoaM aM Waler rya" <br /> Can <br /> i rve Fsnrutushc+ <br /> Fla <br /> Water <br /> Ice Cooler 5 Gat Harrd wash <br /> F-F <br /> F-d COW&Y ers meal be wastewaterContainerred 6 nrlres off of the groanol J I <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 { T 209 468-3420 1 F 209 46"Il38 1 WWW.Sjgov.orWehd <br /> E HO 1"2 Page 8 of 11 TEMP EWMT APP <br /> 06129`2023 <br />