Laserfiche WebLink
Environmental Health Department <br />10. <br />11. <br />OR <br />12. <br />g] 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 />0 Paper towels and pump-style soap container. <br />13. <br />"Important" <br />Completed by:14. <br />Signature-"Title <br />Health Permit <br />Paper Hand Towels <br />BleachPropane Stove <br />Bleach and WaterRmso Water <br />Fire ExUnqutshcr <br />Ice Cooler <br />TEMP EVENT APRPage 8 of 11 <br />----■ <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> Three compartment sink. <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />45°P (if food is used the following day, maintain below 4VF temperature) <br /> Ice chests Refrigerator <br /> Refrigerated truck g] |Ce bath and tubs <br /> Other (specify)__ <br />Stemo w/Chafling <br />Dish <br />Extra <br />Water <br />5 Gal Hand wash <br />Wastewater Container <br />Sanitizer txjcket- <br />bleach & water for <br />Stonng wiping cloths <br />5-20 Gal. <br />Hand wash Water <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. . <br />7/^/^ <br />"Date <br />I Propane Tank <br />Extra /ce Bags & Food Containers must be K <br />stored 6 inches off of the ground! H <br />Booth must be on <br />Concrete. Asphalt, <br />Plywood, ora Tarp. <br />z <br />Names of responsible persons to be present in booth during all hours of operation: <br />[3 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 Soap dispenser <br />Garbage <br />Can <br />1868 E. Hazelton Avenue) Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov org/ehd <br />EHD 16-02 Page 6 of 11 TEMP EVENT Af <br />06/19/19 <br />I Cutting Board