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6 <br />8 <br />9 <br />meats, tamales, cooked beans, rice. <br />Environmental Health Department <br />io <br />ii. <br />OR <br />12. <br />i <br />13. <br />"Important** <br />14 ClMTmWpd hv <br />IS Wale* supply dispenser with warm water at a mrtmum of 100T (i.e 5-20 gaBon container with <br /> One separate tub (bucket or basso) for Lhe collection ol rinse/wastewaler. <br />2 Raper towels and pump-si yte soap container. <br />Aaprowd water far finnkrig. mensst and hand washing will be provided in my booth by the fottowsng methods <br /> Apwoved txjraeo water <br />. A <br />SAN JOAQUIN <br />n/a <br />Note: Examples of potentially hazardous food include: <br />vegetables, potato salad, eggs, and dairy products <br />I am provtcJing foe following cold temperature control for the cou holding of potentially hazardous foods below <br />45*F (i? fond » used the foliowins day, maintain below 41 *F temperature) <br />ice chests 3-RefrQcrator- <br /> Refrigerated truck ice bath and tubs <br />£j Other (speofy) <br />follawin5 for adcR‘jaie harri washing faairtfos, bid separate from utensil wash wthfo my <br />AB food vender booths are subject to inspection. Please make a copy <j( this appicatfon in <br />preparation for this event A copy of this checklist must be in the booth al aS hours of <br />preoaration and operation Return original fo festival coordinator three week* prior IP <br />LJ Three deep fobs (basins 8-3 inches mmimum), one for soapy water, one for rinsing and one for a bleach <br />wluticn (one taWespca-n of bleach per gaBon ot water) <br />® Detergent, bleach, and wiping cloths (cleaning towefc), <br /> Tub to store wemg cfotos in bteach solution. <br />' am prewctaMJ toe foBcwng items wthin my booth for the sanitary clea nmg of food preparation utensti <br />!S Three compartment sink. <br />O On-sse hose bsb ts connected to a potable water source. <br />XOSw(specify). TTA-bAV-S /A) ____________________________________________ <br />EfaOnOy a provided for toy txxrih s use. g8 Yes O Nv M l A LrE7ZJ erK Anf ft- <br />i am providing an accurate probe therrrsometer to measure the hot and cold holding of potentially hazardous <br />foods during 3# times of borth operahen [X] Yes Q No <br />I am providing the foUowttg tax temperalure control tor the hot hoH.ng or ail potentially hazardous foods aixive <br />135V. <br />; i Camp stove Sterno & hotel trays <br /> Double steamer Steam table & 8ds <br /> Bectnc stove top O Other (specify} <br />Names of responsibte persons to be present m booth during aii hours of operation: <br />p/y/4|£lu_c Z>£-gL<; <br />Hczetri;' A»-.;n-;e , S’O'Zx:o-. C.n .fonva 95205 : T 209 468.3420, F 209 464,0138 i wwwJS^eeM com