My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
COMPLIANCE INFO
EnvironmentalHealth
>
EHD Program Facility Records by Street Name
>
D
>
DE VRIES
>
12145
>
1600 - Food Program
>
PR0526555
>
COMPLIANCE INFO
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
7/12/2026 10:56:27 AM
Creation date
7/12/2026 10:49:41 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0526555
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0017972
FACILITY_NAME
KINGDON DRAGS
STREET_NUMBER
12145
Direction
N
STREET_NAME
DE VRIES
STREET_TYPE
RD
City
LODI
Zip
95242
APN
05518005
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\jcastaneda
Supplemental fields
Site Address
12145 N DE VRIES RD LODI 95242
Tags
EHD - Public
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
57
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
View images
View plain text
8. <br />9. <br />OR <br />10. <br />Paper towels and pump-style soap container. <br />13. <br />Title <br />Health Perrpit <br />Piper Hand Towel* <br />Cuttns Board | <br />Propane Stove <br />Soap and Water Rinse Water Bleach and VWtv <br />Fire Extinguisher <br />Ice Cooler <br />Page 8 of 11 TEMP EVENT APPEHD 16-02 <br />10/13/09 <br />-HTDetergent, bleach, and wiping cloths (cleaning towels). <br />□ Tub to store wiping cloths in bleach solution. <br />prepai <br />this® <br />Xl Refrigerator <br />□ Ice bath and tubs <br />5 Gal Hand wash <br />Wastewater Container <br />Sanilzer txcket- <br />Weach A water for <br />storing wiping doths <br />Booth must be on <br />Concrete. Asphalt, <br />Plywood, or a Tarp. <br />□ Ice chests <br />P Refrigerated truck <br />febther (specify) <br />Q <br />Tam^providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />J^^ater supply dispenser with warm water at a minimum of 100”F (i.e. 5-20 gallon container with spigot). <br />□rone separate tub (bucket or basin) for the collection of rinse/wastewater. <br />Garbage <br />Can <br />’ am foNowing cold temperature control for the cold holding of potentially hazardous foods below <br />45 F (if food is used the following day, maintain below 41T temperature): <br />5-20 Gal. <br />r- Hand wash Wstsr <br />hVSosp dispenser <br />Names of responsible perapw to be present in booth during all hours of operation: <br />'*^^nt^T MTfiMd ve^or^oths^re^i^edto^ection. 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 />*■■■ arjtLoperation. Return original to festival coordinator three weeks prior to <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 />I am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br />□ Three compartment sink. <br />Extra k» Bags i Focxi Continers must be ■ <br />stof9d6hcbesofrofthegn>undt ■ <br />Stamo wOraffing <br />Dtah <br />14. Completed by:
The URL can be used to link to this page
Your browser does not support the video tag.