Laserfiche WebLink
.2 0UW SAN JOAQUIN <br /> Environmental Health Department <br /> t j COUNTY <br /> Crentnesi grows here <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 /> -E�Jr#se chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> ❑ Three compartment sink. <br /> OR <br /> water, one for rinsing and one for a bleach <br /> Three deep tubs (basins 6-8 inches minimum), one for soapy <br /> solution (one tablespoon of bleach per gallon of water). <br /> etergent, bleach, and wiping cloths(cleaning towels). <br /> Tub to store wiping 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 /> Z 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. Names of responsible personsAQ be prese tin boottLdunng all hours of operation: <br /> .0 �n <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 o,peratian. Return on inal to festival coordinator three weeks Prior to <br /> this ev , <br /> 14. Completed by: ti % �y L� I <br /> Signature Title Date <br /> 5-20 Gal <br /> Hand wash water <br /> Health Permit <br /> Slerno w+l;harcing <br /> 17iGn Paper HaeW 7owals <br /> S6ap dispenser <br /> Samlrzer bLKX <br /> Culung Board death a water for <br /> slonng N prng cbths <br /> F3leatn <br /> E�t� <br /> Booth mist be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Sank <br /> Soap and Wain, R+nsa Walsr 910a"and water Garbage <br /> Can <br /> Fire Eidmguisher <br /> Extra <br /> Watar <br /> I Ce C001ef ! 5 Gal Hand wash <br /> i Extra ice Bags a Fnol1 Contaurars must Ae wastewater Conle+ner <br /> -- _ - 5lOrVd ffruches al/dl lne 9rarind' <br /> 1866 E Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br /> EVENT APP <br /> EHD 1"2 Pape 8 of 11 <br /> 0713/t 7 <br />