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FROM FAX NO. in. 23 201:3 1:37PIM PIS <br /> SAW,-.710AOUIN Environmental Health Department <br /> C 0 U N T Y--.— <br /> 7 7 <br /> 10, 1 am Providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45°F(if food is used the following day, maintain below 41'F temperature). <br /> xIce chests ❑Refrigerator <br /> EJ Refrigerated kick ❑ Ice bath and tubs <br /> D Other(specify) <br /> 11. 1 am providing the following Items within my booth for the sanitary cleaning Of food preparation utensil <br /> OR 0 Three compartment sink, <br /> -K Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and One for a bleach <br /> 9sQ-Ution (one tablespoon of bleach per gallon of water). <br /> Fetergent, blaach,and wiping cloths (cleaning towels). <br /> Tub to store wiphg cloths in bleach solution. <br /> 12. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> Water supply dispenser with waffn water at a minimum of 1 DOT(i.e. 5-20 gallon container with spigot). <br /> One separate tub(bucket or basin)for the coffection of rhsaNwastewajer. <br /> 7-Paper towels and pump-We soap container. <br /> 13. Names of responsiple persons to be present in booth during all hours of operation.- <br /> Important' 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 oripinal to ] coordkOtOir!Llw �H�cwto <br /> this event C <br /> 14. Completed bf- 1. <br /> Srg re��� <br /> Title Date <br /> Ljeafth Permit 6-20 GaL <br /> smmo <br /> How"00 wav <br /> Fier fund Towels <br /> peen <br /> Bleach <br /> Booth must be on <br /> PtopanQ Tank <br /> Water <br /> Som andMn8e wa"T F110I ard VVI <br /> Garba� <br /> can <br /> fte <br /> Ice Cooler <br /> Ex"A;o SWs&Faod C—wI flxw caftv-w <br /> 510rud 6 races61 gixm' -Received d Time M-a r, 14. -2019- 2 : 39PV7-No. 4797 <br /> 1d68t. H.9zelton Avenue 1 Stockton. California 952051 T 20946B--3A20 [ F 209A94-0138 <br /> =—. 11 1 v,'.vvi-s�innhc� i--nm <br />