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OK <br />CLOSEThis document is now complete. <br />11. <br />OR <br />12. <br />t) 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 />Paper towels and pump-style soap container. <br />13. <br />‘’Important** <br />owner 9/30/201914.Completed by: <br />Title DateIg nature <br />Health Permit <br />Papor Hand Tcmrals <br />Soar, dcwenser <br />BlaachPrupcine SJuve <br />I I <br />Prccane Tank <br />R. ise '.Vale.Bte&cn and Water <br />Q Fr» ExtingiMher <br />Ice Cooler <br />U ’1temporary event application (1 ).pdf <br />Names of responsible persons to be present in booth during all hours of operation <br />Nicole Moore Rayogza <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> Three compartment sink. <br />5 Ga< Hand nrash <br />Garbage <br />Can <br />Booth must be on <br />Concrete. Asphalt, <br />Plywood, or a Tarp <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />Swmn wt'Oiafllng <br />Samnxsr burket- <br />bleecn & water for <br />Slonna wrjtnq ckrths <br />5-20 Gal <br />Hand wash Water <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 />preparation and operation. Return original to festival coordinator three weeks prior to <br />thi^evW,gno<,t>y “ <br />bucz>lc <br />------OF292t>r4a3CW4fj|gn. <br />I <br />Sobu and Water <br />1868 E. Hazelton Avenue | Stockton. California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />EHD 16-02 Page 8 of 11 TEMP EVENT APP <br />06/19H9 <br />tj 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 bleach per gallon of water). <br />0 Detergent, bleach, and wiping cloths (cleaning towels). <br /> Tub to store wiping cloths in bleach solution. <br />i \u ivrvnj io uocvi u ic luuunu ty vicy, iiiannaiii uciww t a a ici a aiuac/. <br />E Ice chests Refrigerator <br /> Refrigerated truck S Ice bath and tubs <br /> Other (specify) <br />11no one uoeo c-wuhieo. ocnile ui wineti die lequneu iui me upeidiiuii ui me one. uedi11 iviuie •—> <br />Ertm K* fiagi A Food Conf/uners must ba I <br />6 off ot the Q.-oond’ f <br />Cuttinq Ociard