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Environmental Health Department <br />10. <br />12. <br />de soap container. <br />**lmportant** <br />Completed by: 14. <br />Sign; <br />Health Permit <br />Paper Hand Towels <br />Soap dispenser <br />Cutting Board <br />Propane Stove <br />it <br />Rinse Water <br />Are Extinguisher <br />ehd Hazelton Avenue I Stockton. California 95205 | T 209 468-3420] F 209 464-0138 | www.sjgov.org/ehd <br />ACMAMA Page 8 of 11 TEMP EVENT AlTEMP EVENT APPnAMQMO <br />EXM lee Begs & Feed Containers must be <br />stored 6 inches off of the ground! <br />Stemow/Chaffing <br />Dish <br />Extra <br />Water <br />5 Gal Hand wash <br />wastewater container <br />0-20 Gal. <br />Hand wash water <br />Sanitizer bucket­ <br />bleach & water for <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />Garbage <br />Can•■I-' <br />Ice Cooler <br />l <br />Soap and Water <br />SAN JOAQUIM <br />COUNTY <br />HJ^chests q Refrig6rator <br />[Refrigerated truck ice bath and tubs <br /> Other (specify)__________ <br />Propane Tank <br />BWater supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br />E^ne separate tub (bucket or basin) for the collection of rinse/wastewater. <br />E'Paper towels and pumi <br />13 0 r6 Pr^‘ 811 h°UrS °f °peration: <br />11 QTh™ Wlthin sanila'y *“*« of food *»« <br />0R - <br />°™ fer and <br /> Detergent, bleach, and wiping cloths (cleaning towels) <br />LI Tub to store wiping cloths in bleach solution. <br />^Providing the following for adequate hand washing facilities, but separate from utensil wash within my <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 />pr®ParatiOtn and operation. Return original to festival coordinator three weeks prior to <br /> <br />DateTitle