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tnvironmenia! lieaitn uepanmenr <br />in I am nmvHlnr ♦ho for ‘ho haTaMfAK hw<e holnjy <br />i i i nrve compannieni smit <br />OR <br />12. <br />0’Paper towels and pump-style soap container. <br />13. <br />wk-Dakj Zapata <br />14. <br />Health Permit <br />I Fapw Hand Iwata <br />I __Cuang Board Sarwrav txxxsc- <br />I I ■v/ <br />I KnaBWaaar <br />li <br />/7* <br />L <br />EHD 1M2 Pago 8 o(11 <br />JtSlZ- <br />TJHe <br />taM rtaMM «NMMI <br />Waatewatw Cortane’ <br />□ Ice chests <br />O Refrigerated truck <br />□ Other (specify) <br />Stamo w/ChalTmg <br />3-i- <br />Garbage <br />Can <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />□ Refrigerator <br />□ Ice bath and tubs <br />EjOtb <br />Water <br />dAIN JUAUUIN <br />COUNTY <br />IEr <br />05/23/1) <br />Date <br />preparation for this event. A copy of this checklist must be in the booth at an hours of <br />preparation and operation. Return original to festival coordinator three weeks prior to <br />this event <br />Completed by: C i GiLiLA Z-APAlA <br />Sionature <br />□ Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br />□ 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 />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />Names of responsible persons to_be present in booth during all hours of operation: <br />ZAPATA AOWAKJ ZAPATA <br />£tfr» tea Bags & Food nxist fie - <br />xtorrd 6 nchcz off cf trte <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com <br />EHD IS 02 Pago 8 of 11 TEMP EVENT APR <br />Fk» <br />Soap dapvnvD' <br />I Soap and Wan* I <br />-------12 <br />I HwdanshWiw <br />| I HteacD arw Waar <br />I rTxxamo bOTW