Laserfiche WebLink
11. <br />OR <br />12. <br />minimum of 100°F (i.e. 5-20 gallon <br />13. <br />Completed by.14. <br />Paper Hand TowelsHealth Permit <br />Soap dispenser <br />Cutting Board <br />Propane Tank Bleach and Water <br />Fire Extinguisher <br />Garbage <br />Can <br />Title <br />5-20 Gal. <br />Hand wash Waler <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />Sterno w/Chaffing <br />Dish <br />- - | T 209 468-3420 | F <br />Page 8 of 11 <br />Soap and Water <br />| Propane Stove <br />I Sanitizer bucket- <br />I bleach & water for <br />I storing wiping cloths <br />**lmportant** <br />Environmental Health Department <br />container with spigot). <br />Rinse Water j <br />Extra \ <br />Water 1 <br />I 5 Gal Hand wash <br />I Wastewater Container I <br />my booth for the sanitary cleaning of food preparation utensil <br />209 464-0138 | www.sjcehd.com <br />| Bleach <br />[r <br />"ice Cooler^ U <br />1R68 E. Hazelton Avenue | Stockton, California 9520^1 <br />Extra tee Bags & Food Containers must be <br />stored 6 Inches off of the ground. <br />of <br />— <br />Date <br />All food vendor booths <br />preparation for this c. <br />preparation and operation. <br />this event /} / <br />------’ ' Signature <br />.aN.JOAOUIN <br />------COUNTY------> <br />! Greotness grows here. Qf potential|y hazardous foods below <br />^Tpfood ^^“olXdaT— befow41-Ftemperature): <br />/Ae chests Refrigerator <br /> Refrigerated truck Ice bath and tubs ----------- <br /> Other (specify). <br />for soapy water, one for rinsing and one for a bleach <br />I am providing the following items within <br /> Three compartment sink. <br />n Three deep tubs (basins 6-8 inches minimum), one <br />B ™»=»«•»<*“ ™ <br />booth: <br />s'Water supply dispenser with warm water at a <br />□J^ne separate tub (bucket or basin) for the collection of rinse/wastewater. <br />[jjpaper towels and pumpzstylesoap container. <br />o, — ■'