Laserfiche WebLink
Environmental Health Department <br />10. <br />11. <br />OR <br />12. <br />13.Names of responsib|e persons to be present in booth during all hours of operation: <br />Patrick Manning, Danielle Cheim, Kevin Cheim, Angie Rowland, Jennifer Gutierrez <br /> <br />“Important** <br />14.Completed by: <br />Health Permit <br />Paper Hand Towels <br />Soap dispenser <br />Cutting Board <br />Propane Stove Bleach <br />Rinse Water <br />Fire Extinguisher <br />Ice Cooler <br />Stemo w/Chaffing <br />Dish <br />5 Gal Hand wash <br />Wastewater Container <br />Sanitizer bucket­ <br />bleach & waler for <br />stonng wiping cloths <br />Extra tee Bags & Food Containers must be <br />stored 6 inches off of the ground! <br />5-20 Gal. <br />Hand wash Water <br />i Extra ’ <br />| Water <br />President <br />Title <br />Soap and Water <br />Propane Tank <br />------------------—4 <br />J <br />□ ThZ'Sp'XnSi,emS b°°,h’’e San"a'y 0leani"9 °f <br />Garbage <br />Can <br />^providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />and one for a Oieach <br />K Detergent, bleach, and wiping cloths (cleaning towels) <br />U Tub to store wiping cloths in bleach solution. <br />S-02 Haze"°" Avenue I Stockton, California 952051 T 209 468-3420 ( F 209 464-0138 | www.sjgov oro/ehd <br />06/29/2023 Page 8 of 11 TEMP EVENT APR <br /> <br />SANJOAOUIN <br />------COUNTY----- <br />rro?’^’ Greotness grows here. <br />' 4^™^ te™perature contro1 for the cold holding of potentially hazardous foods below <br />45 F (if food is used the following day, maintain below 41 °F temperature): <br />E Ice chests g] Refrigerator <br /> Refrigerated truck g] Ice bath and tubs <br /> Other (specify) <br /> Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br /> One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />E Paper towels and pump-style soap container. <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <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 />th^ev^nf1 3nd OperatlOn —turn original to festival coordinator three weeks prior to <br />/S/ Patrick Manning President .^1^2023 <br />Signature fitie Date