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SANJOAOUIN Environmental Health Department <br />11. I am provWIng the foi rowing terns wtthln my booth for We sanftarycteartng of fiacd prepe ration utenell <br /> Three compartment sink. <br />OR <br />12. <br />13. Names of responsible persona to he present In booth during all hours of operaton: <br />14. Completed by: <br />Hsoffi! Permit <br />5 <br />CuMeate! <br />RaRMtto« <br />fx; <br />MaprtWefar ■atthtttdVMr <br />Pape aofii <br />MtartaoM" MMtfraMterRr <br />[ <br />SMHnlwh <br />WMMrCHlfar <br /> Water supply dtepenser with warm water st a minimum of 100*F (te. 5-20 gallon contelnar wllh spigot). <br /> One separate tub (bucket or basin) for the coSection of rinee/watemvater. <br /> Paper towels and pwntxMe wab container. <br /> Booth mist ba an <br />CasorrtB,A«phdt, <br />Ptywood. arsTfep. <br />rrwsMMMairrfetsiin* <br />Rn*W«W <br />Date <br />Garbage <br />Can <br />/>:1\ SANJOAOUIN <br />■’ ------COUNTY------- <br />Gfeatnffss grows here. <br />10. I am providing the foKowfog oted temperature oontref for the cold hotdog of potentlafly hazardous foods bekw <br />45°F (if food Is used foe following day, maintain below 4rF temperature): <br /> tee diesis Refrigerator <br /> Refrigerated truck ice bath and tabs <br /> Other (specify) ______ ______ <br />I am providing the following for adequate hand washing facHfles, but seperate from utendl wash wHNn my <br />bocft: <br />Ice Cooter <br /> Three deep tubs (beslns 8-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br />solutton (one tebtespoon of bleach per gallon of weter). <br /> Detergent, bleach, and wiping cloths (cleaning towels). <br /> TUb to afore wiping cloths In bleach solutian. <br />emiwBMSs <br />CM <br />1888 E. Hazelton Avenue | Stockton, California 95206 [ T 209 468-34201 F 209464-0138 | wwwjjcehd.com <br />EH01MS Pact 8 of 11 TEMPEVEWTAPPnmz <br />AH food vendor booths are subject to tespectfon. Rease make a copy of this applteatkm In <br />preparation for thfo event A copy of this checklist must be In the booth at ell hours of <br />preparation and opsraflon. Return original to twttwl coordlnafar three wertw prior to <br /> <br />«»__». .i ««f ■-. r- n«ng won tvww <br />| Si ng SW—r | ....,\