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Environmental Health Department <br />10, <br />SI Three compartment sink <br />12 <br /> Paper towels ano pumc-stvle soap container <br />13. <br />'•Important* <br />14.Comptetea by <br />Title <br />Health Permit <br />| Snap <br />P’tytar* Saw <br />Taw* <br />Ice Cooler <br />i <br />Sanxrwrtpusui*- <br />E193=r. A •atprrni' <br />«£2EftJ *p_~.g <br />0 Water supply dispenser with warm water at a minimum of 100’F (Le 5-20 gallon container with spigot). <br /> One separate tub (bucket or basin) for the collection of nnse/wastewater. <br />5^3 Gai <br />nsnfl waa' Water <br />S^e w 'Chafing <br />Garbage <br />Can <br />SAN JOAQUIN <br />-----COUNTY------ <br />5 G«4 WMf> <br />lonurra* <br />z_ <br />KhTSB WswS<j» ma ito!* <br />11. lam providing the following dems within my booth for the sanitary cleaning of food preparation utensil <br />Sj Three compartment sink <br />OR <br />1868 E Hazelton Avenue | Stockton California 9o2O5 | T 209 468-3420 1 F 209 464-0138 I wwwstcehd.com <br />P«ije«0»11 TEMP EVENT APF <br />05-10-2019 <br />Date <br />ML <br />Names of responsible persons to be present in booth duhng all hours of operation <br />Many Vanqsoulatda <br />•_j 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 bleacn per gallon of water). <br />Detergent, bleach and wiping cloths (cleaning towels). <br />1_J Tub to store wiping cloths in bleach solution. ~ <br />Al! food vendor booths are subject to inspection. Please make a copy of this application in <br />□reparation for this event A copy of this checklist must be in the booth at all hours of <br />preparation and operation Return original to festival coordinator three weeks prior to <br />this event <br />C H r4 ’ <br />- ---------------------- <br />Uirqinrn <br />I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />45kF (if food is used the following day maintain below 41 'F temperature) <br /> ice chests ^2 Refrigerator <br /> Refrigerated truck ice bath and tubs <br />0 Other (specify) Refrigeration on mobile food facility <br />T: prOViG*n3 tfie fr>r adequate hand washing facilities, but separate from utensil wasn within my <br /> gijs t r*aa CsrtmT*-! nor *» <br />I ssnc c MCNrs rf sfmt gTwia' <br />Bcoin nsvst fre on <br />Concrete Asphalt <br />Plywood or a Tarp