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Environmental Health Department <br />10. <br />11. <br />OR <br />12. <br /> Water supply dispenser with warm water at a minimum of 100JF (i.e. 5-20 gallon container with spigot). <br />✓K One separate tub (bucket or basin) for the collection of nnse/wastewater. <br /><2^Paper towels and pump-style soap container. <br />13. <br />14. <br />Sign e <br />Health Permit <br />]Paper Hand Toweis <br />Soap dispenser <br />Cutting Board 1 BleachPropane Stove <br />I i <br />Rinse vVarer Bleach and WaterSoap and Water <br />Fire Ex’inyi.isber <br />Ice Cooler <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br />O Three compartment sink. <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />Extra Ice Bags 6 Food Coota^tors mtisf be <br />stored 6 trie he s aft cd the g/oi^nd' <br />2^ T hree 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 />Sierr.o w/Chaffirtg <br />Dish <br />Extra <br />Waler <br />5 Gal Har d wash <br />Aastewawjr Container <br />Garbage <br />Can <br />Sarntizer buckev <br />Plead ■ 6 water for <br />stoong wiping dolhs <br />5-20 Gal <br />Hand wash Water <br />SAN JOAQUIN <br />-COUNTY <br />Booth must be on <br />Concrete. Asphalt, <br />Plywood, or a Tarp. <br />_________________z <br />1868 E. Hazelton Avenue | Stockton. California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />EHO 18-02 Page 8 of 11 TEMP EVENT APP <br />07.01-2024 <br />Names of responsible persons to be present in booth dunng all hours of operation: Orxxjnp, ~v Urner. _________ <br />**lm portant** <br />I am providing the following cold temperature control for the cold holding of poterdially hazardous foods below <br />45’F (if food is used the following day, maintain below 41 F temperature): <br /> Ice chests Refrigerator <br /> Refrigerated truck O Ice bath and tubs <br /> Other (specify) <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 /> pirgpaiation and operation^ Return original to festival coordinator three weeks prior to <br />Completed by: Title ' Date <br />Propane Tank <br />-------------------------1 <br />2