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1II( <br />< <br />Environmental Health Department <br />it. <br />OP. <br />12 <br />(t^VVater supply dispenser with warm water at a minimum of 100‘F (i e. 5-20 gallon c^ntainerwith sp^ot). <br />13 <br />aersrti <br />Aya. <br />Completed by 14. <br />J <br />J pl <br />ProuneTir*I-Sei#) arxj Wanr <br />J ExVi> I <br />(•ft 6jC.^Q,ltfWf <br />r - <br />Ice Cooler <br />l*?a^;Ha2etton Avenue I Stockton California 95205 I T 209 468-<342« f F 208 464-0138 I ^wsigov^t/efid <br />Jt EVP EVENT AfftWP EVENT APP <br />i <br />•o«in must 0e on <br />ConactE. Asprx, i <br />plyvrMvj or a TO,p <br />I am ♦roviding the foil*ng for adequate hand washing fawlihes, ixi! separate from utensil wash within my <br />booth <br />F«rY*«<» Oo^: jt mjsfCe <br />ik/Ckf g tfff <br />4 QSi i 4|rz3'A>z>f8i <br />A*S si ta r Ort I ei ner <br />I J <br />'jMigwnaCTT/ggSII Health Permit ro CJa <br />I t>nd %.«. I . *.!<!> <br />z_ <br />r«nw A^Mf <br />t* be present in booth during alfheurs of operation <br />EaifJoi MA^egiiAig- - ------ <br />hll (oocl vendor booths ate subject to inspection Please make a c*jiy of this apphoahon in <br />jcepersrtion for Uts even;.. A copy of this checklist mtMt be in the booih at art hours of <br />pi'ep.V&'^n and operation Return original to festival co<rgipator three weeks prwr to <br /> March 4, 2025 <br />7 1 Vtj lunar urc T-' Z Datf 'f <br />Ejjf^Jne separate tub (bucket or basmj for (he collection of rmseAvastewater. <br />CP^apSt towels and gumpstyle soap container. <br />Garbage <br />Can <br />! . r " <br />f (cite? <br />A* <br />10. <br />rhrrr <br />/ ' y- f"'; f— <br />I I I I A <1 o 0 o inie <br />1' LL' <br />.■af ^2 f <br />Harries of responsfc'ie pers( <br />~IW^ <br />“Imftortant’* f ' <br />lam providing the folmw.ng rtems-wth.n my booth tor the sanitary cleaning of food preparalion utensi' <br />□ Three •cmpartmerit sink. <br />^Three deep tubs (banns 6-8 inches minimum), one for s*apy water, one for rinsing and one (er a bleach <br />solution (one tabiesg**n of bleach per jalfon of water) <br />O<cteigen( bleach, and wiping cloths (cfeani-^tov/ek). <br />l^/'Tub to store wping cloths m blea»h solutreri <br />, V <br />K p2? <br />3QO&^.|^JJ <br />SANJOAOUIN <br />„ . u.-’ ------COUNTY------ <br />|tr^v.i'': (jmotnvSi -vs I'utr?. <br />i an providing the following c*ld temperature control far the coW holding of potentially hazardous foods be|*w <br />45*F (if ftod is used the foiWwing day, maintain below dl’F temperature): <br />f^-feechests Q Refrigeiator <br />O Refrigerated truek t)a,h 3nd Iljbs <br />□ •ther (specify)__________________________________ __________________ ___________ __________ <br />. I htfli T | <br />« ■ I Axb* > <br />| bteath 1 <br />j •AcniU ut*nj 3<n i