Laserfiche WebLink
Environmental Health Department <br />.-to. <br />j <br />11. <br />OR <br />12. <br /> Water supply dispenser with warm water ata 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 />14.Completed by: <br />Date <br />Paper Hand Towels <br />Soap dispenser <br />1 BleachPropane Stove <br />fl <br />Propane Tank <br />Bleach and WalerRinse Water <br />Fire Extinguisher <br />I <br />,ZT <br />i Ice Cooler I <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 />Stcmo wTChafTmg <br />Dish <br />5 Gal Hand wash <br />Wastewater Container <br />5-20 GaL <br />Hand wash Water <br />Sanitizer bucket­ <br />bleach & water for <br />storing wiping cloths <br />I <br />I 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 chesta Refrigerator <br />fZI Refrigerated truck EJ Ice bath and tubs <br /> Other (specify)______________________________________________________________ <br />Title <br />SAN JOAQUIN <br />— COUNTY— <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 />this event. ussJ, nmczMarch 2025 <br />Signature <br />• - - - ; -- <br />Exira ice Bags & Food Contaows nwst be <br />stared 6 inches off of the gmund! <br />Health Permit ia <br />"Important** <br />EH 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 /> Detergent, bleach, and wiping cloths (cleaning towels). <br /> Tub to store wiping cloths in bleach solution. <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br />PI Three compartment sink. <br />Garbage <br />Can <br />18S8 E. Hazelton Avenue [ Stockton, California 95205 ] T 209 468-3420 | F 209 464-0138 | www.sjcehd.com <br />EHD 16-02 Page 8 of 11 TELff* EVENT APR <br />07/3/17 <br />a r fl <br />Soap and Water <br />Names of responsible persons to be present in booth during all hours of operation: <br />Exira <br />Waler