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9126123, 10:06 AM imagel.jpeg <br />Environmental Health Department <br />10. <br />lion utensil <br />OR <br />rinsing and one for a bleach <br />12. <br /> W;supply dispenser with warm water at a minimum of I’F (i.e. 5-20 gallon container with spigot). <br />One separate tub (bucket or basin) for the collection mse/wastewater. <br /> Paper towels and pump-style soap container. <br />13.during all hours of operation: <br />’'Important** <br />Completed by: 14. <br />SI ire <br />Health Permit p <br />Stemo <br />Paper Hand Tomis <br />Propane Stem <br />I Propene Tar* <br />Fee EMLrxr-anar <br />Ice Cooler <br />TEMP EVENT APP <br />i’'5 <br />SOW Hand xun <br />EHO 16-02 <br />06/19/19 <br />I am providing the following items within my booth for the sanitary cleaning of food pre) <br /> Three compartment sink. z <br />Garbage <br />Can <br />Sarw^B.-th-crer- <br />Neacn & waier <cr <br />storing wipea eWhs <br />I am providing the following for adequate hand washing fadlities.-but separate from utensil wash within my <br />booth. / <br />Bootn musi be on <br />Concrete. Asohait. <br />Plywood, or a Tarp- <br />SAN JOAQUIN <br />COUNTY <br />I am providing the following cold temperature control for the cold liolding of potentially hazardous foods belt <br />45°F (if food is used the following day^rpaintain below 4I’F temperature): s <br /> Ice chests ^Refrigerator / <br /> Refrigerated truck Ice bath and tubs / <br /> Other (specify) / <br />I aoicn <br />Names of responsible persons to be present in M <br />AH food vendor booths are subject to inspection. Please make a copy of this application in <br />preparation for thiS/dvenfc A copy of this checklist must be in the booth at all hours of <br />preparation and operitiorr. Return original to festival coordinator three weeks prior to <br />f Titl^/ Date / <br />S20 Gal <br />r- HandwMriWa^r <br />Soap dupeoMr J ---------- \ <br />-Z 2;—T -Lai. <br />SoapandWator RinwWalM <br /> Three deep tubs (basins 6-8 inches minimum), one for soapy water, one <br />solution (one tablespoon of bleach per gallon of water). y <br /> Detergent, bleach, and wiping cloths (cleaning towels). / <br />KzFub to store wiping cloths in bleach solution. / <br />Eidn lc» Saga < Fiod Conurm mat ta ■ <br />atoxvae lncf»t uffiJth* groumU I" <br />1868 E. Hazelton Avenue I Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | ^vw.sjgov org/ehd <br />S: Ct 0 32 Page 8 of 11 TEMP EVENT Af <br />I BtaaU. a.x) V/aW | <br />I 1 IWaw | <br />I Cucmg Board I