Laserfiche WebLink
Environmental Health Department <br /> <br />11. <br />OR <br />12. <br />13. <br />14.Completed by: <br />Signature Title Date <br />Paper Hand Towels <br />Culling Board <br />Propane Stove Bleach <br />Propane Tank <br />Hre Extinguisher <br />Page 8 of 11EHD 16-02 <br />07/3/17 <br />Extra Ice Bags & Food Containers must be <br />stored 6 inches off of the ground! <br />Slemo w/Chaffing <br />Dish <br />Extra <br />Waler <br />5 Gal Hand wash <br />Wastewater Container <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />te. present in boi <br />/ & i <br />/ill <br />■ /1 v'tj ' 1 .j <br />Health Permit <br />Soap and Water <br />jotb during all hours of operation: <br />/<i Ci-tA££>S <br />SANJOAOUIN <br />------COUNTY------- <br />Greatness grows here. <br />providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />Sanitizer bucket- <br />blaach & water for <br />storing wiping cloths <br />10. <br />"Important** <br />5-20 Gal. <br />V- Hand wash Water <br />J <br />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 event. <br />^ap providing the following items within my booth for the sanitary cleaning of food preparation utensil <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 /> Ice chests <br /> Refrigerated truck <br />^fother (specify) <br />I am | ’" <br />45°F (if food is used the following day, maintain below4TF temperature): <br /> Refrigerator <br /> Ice bath and tubs <br />Garbage <br />Can <br />Soap dispenser <br />^am^providing the following for adequate hand washing facilities, but separate from utensil wash within my <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 />Names of responsible persons to <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com <br />cun iK.no TEMP EVENT APR <br />Rinse Water Bleach and Waler <br />4^-------- <br />Ice Cooler I ; <br />__________1/