Laserfiche WebLink
SA N J QAQ U I N Environmental Health Department <br /> COUNTY---- <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 /> ❑ Ice chests M 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 /> ❑ Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> solution (one tabiespoon of bleach per gallon of water). <br /> Detergent, 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 /> -Water supply dispenser with warm water at a minimum of 1009F(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. N es of re ponsible persons to be present in booth during all hours of operation: <br /> -vej ,=,— <br /> **Important** All food venCor booths are subject to inspection. Please make a copy of this application in <br /> preparation fpi this event. A copy of this checklist must be in the booth at all hours of <br /> preparation a d operation. Return original to festival coordinator three weeks prior to <br /> this event. • ,� <br /> 14. Completed by: +c � tt 4 /e <br /> *atu re Title Dat <br /> 5-2c Gal. <br /> Hand wash Water <br /> Health Permit <br /> 5lemo wlCharring <br /> Cash <br /> vapor Hasa To,.els <br /> Soap tllspenser <br /> Cutirng hoard Samdzer Gucket- <br /> bleaGl Swater far <br /> r'ropar:e Stove <br /> Bleach stonng wiping dolhs <br /> Booth must be on <br /> Concrete,Asphalt, <br /> ' Plywood,or a Tarp. <br /> ... c a1 <br /> Propane Tank <br /> - - - Soap and Water 9insa Waler 61=_arh ar.3'Nater Garbage <br /> Can <br /> 3"era EzdnguFsner <br /> Exha <br /> V'later <br /> lce Cooler 5 Gal Hand wash <br /> Errra Ice Bags 8 Food Containers mast be Wastewater Contairer <br /> -- storsd 6 inches off of the grourdr <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.cam <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 0713117 <br />