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Environmental Health Department <br />11. <br />OR <br />12. <br />13. <br />"Important** <br />Health Permit <br />Pap»r Hand Totwli <br />Soap dapenwr <br />Cutnng Board <br />Propane Stove <br />Rlnae Water <br />Fire ExSnpulaher <br />Ice Cooler <br />Scanned with CamScanner <br />____. • <br />Stomo w/Chafflnfl <br />DMi <br />□ Refrigerator <br />Q Ice bath and tubs <br />5 Gal Hand ween <br />Waatawatar ContetearExtra fee Bags i Food Containers must be <br />storedd inches off ot the ground! <br />Extra <br />Water <br />Sanltttar budtat- <br />bteach & water for <br />•todnawtpInQdotna <br />Soap and Water <br />Propane Tank <br />-----------------------1 <br />5-20 Gal <br />V* HandwashWater <br />hV <br />SANJOAudlN <br />-----COUNTY------ <br />Greatness grows here. <br />□ Refrigerated truck <br />□ Other (specify) <br />□SSZSr W“in «««> Penning ot food preparation utensil y/A <br />*" “nfl and one far “ <br />U Detergent, bleach, and wiping cloths (cleaning towels). <br />U Tub to store wiping cloths in bleach solution. <br />^providing the Mowing for adequate hand washing fedhoes. but separate Item utensil wash within my <br />■'? r*T*‘ <br />10. <br />eSd ?^2Hazelton Avenue 1 Stockton-California 95205 I T 209 468-3420 | F 209 464-0138 | www.sjcehd.com <br />07/3/17 Page 8 of 11 TEMP EVENT APP <br />□ 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 />Paper towels and pump-style soap container. <br />res{™sible Pedons to be present in booth during all hours of operation; <br />-OiofiCA 7.C\PCAC\ <br />/ r _ <br />’ BltMchwdWstBr <br />--------------------------------------X <br />Booth must be on <br />Concrete, Asphalt, <br />5^0^ Plywood, or a Tarp. <br />Garbage <br />Can <br />«f°«l “chdor booths are subjea to Inspaoion. Please make a copy or this nnnlimnnn h <br />KS1 and 0^’n' sSQdXl to^^^lneS tS^^eH S t°' <br />«. Comdetedbyt^^^^---------