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Will <br /> SAN JOAQUIN E <br /> COUNTY— nvironmental Health Department <br /> Greorncss grows here <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45OF(if food is used the following day,maintain below 41°F temperature): <br /> ❑ Ice chests <br /> ..��LL El Refrigerator <br /> P efrigerated truck ❑Ice bath and tubs <br /> ❑Other(specify) <br /> 11. lEff a roviding the following items within my booth for the sanitary cleaning of food preparation utensil <br /> OR Three compartment sink <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 /> Z:I-Kater 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 /> ES-Paper towels and pump-style soap container. <br /> 13• es of responsible persons to a present in booHq L during all hoyrs of opera on: <br /> o - AwLav U. <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 /> pre aration and operation. Return original to festival coordinator three weeks prior to <br /> t ev nt. <br /> 14. Completed by: f� , �/A� DZ <br /> Signature 1/NTitle Dat <br /> Health Permit 5-20 Gai. <br /> Sterno w/ChaPong Hand wash Water <br /> Dish <br /> Papor Hand Towels <br /> $Oap dl5pen59r <br /> Culling Board <br /> Sam"T buckel- <br /> Propane Stove bleach 8 water for <br /> Bleach stoning wiping cioths <br /> Booth must be on <br /> O Concrete,Asphalt, <br /> Propane rank _ t°r�,s�r `" PIY�'+ood,or a Tarp. <br /> '. Soap and Water Rinse Water Bleach and Water <br /> Garbage <br /> Fire Extinguisher Can <br /> Edra <br /> Water <br /> �I <br /> i <br /> Ice Cooler <br /> 5 Gal Hand wash <br /> Ex ra Ice bags B Food Conlarners mus!be Wastewater Container <br /> } stored 6 rnchas o/1 o/!he ground <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 1 F 209 464-0138 1 WWW,Sjgov.org/ehd <br /> EHD 16-02 Page 8 of 11 <br /> 06/29/2023 TEMP EVENT APP <br />