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SAN JOAQUIN Environmental Health Department <br />10 <br />11 <br />OR <br />12 <br />13. <br />"Important” <br />Completed by: <br />J Health Permit J <br />CvSi->S&»^ <br />Propa^ <br />Rhm Wis*-- <br />3 <br />California 95205 i TStockton <br />J <br />5-K; G* <br />tt»ne *3ar Wvbt <br />Cartage <br />Can <br />5 3« <br />A *n**3te Caftan <br />14. <br />^UJ*aer supply dispenser with warm water at a mirwrwm of 100’F (te. 5-20 gallon container with spigo’i <br />~separate tub (bucket or pasml fry the collection of rinse/wastewater <br />■^^^iPaDer towels and pump-sty^ soap container. <br />Booth must De on <br />Coiwrete. Asphalt. <br />Ptywowt. or a Tarp <br />k_________ <br />< ■ <br />O-r j I <br />is strcTn.- <br />| *‘*‘11^**, I <br />preparation for this event A copy of this <br />preparation and operation <br />Signature <br />toe^following items within my booth for the sanitary cleaning of food preparation utens: <br />'*^Sj htee deep- tubs (basins 6-8 inches minimum), one for soapy water one for rinsing and one for a beach <br />^solution (ore tablespoon of bleach per gallon of water! <br />^^SDetergent. bleach, and Wmg cioths (cleaning towels). <br />“^Tub to Store wprng cloths in bleach solution. <br />• am providing the toltow.ng for adequate hand washing 'abilities but separate from utensil wash wdhi- my <br />booth <br />SiMr*ss*-iw 1 ——- <br />1868 E Hazelton Avenue I <br />EHD 15-0? <br />' nfi.'7Qi-7S2? <br />- 209 469-3420 . F 209 464-0138 | wwr. s??ovo^eh^ <br />P.>gn B nle 1 <br />LJ <br />Ice Cooler <br />turn orioi^l toTfeXa cooro-^. „„„ „ <br />-----------" <br />— OUJfJt^ <br />Title <br />45'-p 0* for*! re *' 7 ■■’’ .7 1"" 'emper-ature control for the cold holing of potentially hazardous foods bekr* <br />z- , ooq is uSe(j th,® Mowing day masrtain bekyw 4i’F temperaturei <br />cheste Re'ngerator <br />■_ Refrigerated truck Q bath anc) tub5 <br />Lj Otoe- I specify)_ <br />Sjhi <br />r .^ar?- 5 ws-jr t- <br />Slurtr.j cirfhi