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Environmental Health Department <br />10. <br />11.booth for the sanitary cleaning of fooc preparation utensil <br />OR <br />12. <br />Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br />EZhOne separate tub (bucket or basin) for the collection of rinse/wastewater. <br />Paper towels arfd pu i-style soap container. <br />13.Nameswf responsi!TSOI <br />14.Completed b/ <br />Health Permit I <br />Paper Hand Towels <br />Soap dispenser <br />Cutting Board <br />BleachPropane Stove <br />Propane Tank <br />Rinse Water Bleach and Water <br />Fire Extinguisher <br />Ice Cooler <br />1 <br />Page 8 of 11EHD 16-02 <br />06/19/19 <br />Extra Ice Bags & Food Containers must be <br />stored 6 inches off of the ground! <br />Sterno w/Chaffing <br />Dish <br />foodyer <br />toaration <br />Extra <br />Water <br />5 Gal Hand wash <br />Wastewater Container <br />Garbage <br />Can <br />Sanitizer bucket­ <br />bleach & water for <br />storing wiping cloths <br />5-20 Gal. <br />Hand wash Water <br />“I <br />Soap and Water <br />itjnature <br />SANJOAOUIN <br />------COUNTY------- <br />Greatness qrows here. <br />A copy of this checklist must be in the booth at all hours of <br />Returnz originaLto festival coordinator three weeks prior to <br />‘‘Important** <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />______________ <br />/SSTfe. <br />r'V"! 'T\Si fa <br />Greatness grows <br />I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />(if food is used the following^day, maintain below 41°F temperature): <br />^0\ce chests <br />□ Refrigerated truck <br />^^Other (specify)__ <br />‘I am providing the following items within <br />□ Three compartment sink. <br />Xj Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br />/sokition (one tablespoon of bleach per gallon of water). <br />□ Detergent, bleach, and wiping cloths (cleaning towels). <br />□ Tub to store wiping cloths in bleach solution. <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />c'-,n•,K n', " TEMP EVENT APP <br />Ldor booths are subject to inspection. Please make a copy of this application in <br />'■preparation ra>r this event, <br />preparationynd operation. <br />tl <br />rx'Refrigerator <br />- ----- - Ice bath and tubsT. __ <br />A. <br />I I