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S A NA 0 A Q U I N Environmental Health Department <br /> --C O U I`I T Y-- <br /> 10. 1 am providing the foUDwiig cold temperature control for the cold holding of potentially hazxirdous foods below <br /> 45°F(if food is used the following day, maintain below 41'F temperature): <br /> ice cttests ❑Refrigerator <br /> ❑Refrigerated truck [916 bath and tubs <br /> ❑Other(specify)_ <br /> 11. 1 am providing the following items within my booth forthe sanitary cleaning of food preparation utensil <br /> Three compartment sink. <br /> DR <br /> Three deep tubs (basins" inches minimum), one for soapy water. one for msirg and one for a bkMCh <br /> (one tablesponrr of bleach per gallon of water). <br /> Detergemt bleach.and wiping cloths(cleaning towels). <br /> ub to store wiping doths in bleach solution. <br /> t2 I an pruAdng the following for adequate hand washing fbaTibes, W separate f IDm uters+i wash wthin my <br /> troth: <br /> [Water supply dispenser with warn water at a minimum of 100'F(_e. 5-20 galon oordainer with spi900. <br /> IR One separate tub(bucket or basin)for the collection of nriselwastewater. <br /> 5d Paper towels and RygMtstYte Soap container. <br /> 13. Names of msponsbie persons to be present in booth during all hours of operaborL <br /> a T <br /> —Imporrard-" All food „ender bootfts are subted to inspection. Piece make a copy of ttris appkeation In <br /> preparation for this event. A copy of this dwKAW must be in the booth at all hours of <br /> preparation and operation. Retum o " trial to festival coord-mator three Mft Pjftr to <br /> 14. Completed by. 1 r - f <br /> Signature Tide Dale <br /> a zo 0ar <br /> Health Pmrrtd NMMd M,.r,wr M <br /> Dub PUPWt MdTamok <br /> ss.o dwva� <br /> er.dea.r.c�s <br /> Borth nnid be an <br /> OorrcRPIP-Asphak <br /> Plywood,at■Tap. <br /> ee�.ie rwv ram..war. er.�.a rer.r Cie <br /> can <br /> rv.r <br /> Ice Gooier l 5Od R od,@e <br /> a"bw amp a Food arssn in!rr v��C4ris <br /> -Y -ft a kd6W d/d(b pow <br /> 1888 E.Hazekon Avenue I stoddon.Gafifomia 952051 T 209 468-3420 1 F 209 464-0138 j www.sJQov.or8lehd <br /> HflUO2 Po"ad11 T♦ WEW"TWP <br /> aw2b,2M <br />