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SKJOAQUIN Environmental Health ueparmj,= <br /> —C C)U ry-- <br /> Greatness grows here. -` <br /> 10. l am providing the followingcold temperature control for the cold holding of potentially hazardous to <br /> below <br /> 45'F(if food is used the following day,maintain below 41`F lemperature): <br /> Z-44cg chests ❑Refrigerator <br /> ❑Refrigerated truck KIce bath and lobs <br /> ❑Other(specify) <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> ❑Three compartment sink. <br /> OR water, one for rinsing and one for a bleach <br /> hree deep lobs (basins fi 8 inches minimum), one for soapy <br /> solu41io (one tablespoon of bleach per gallon of water). <br /> etergenl,bleach a-id witting cloths(cleaning towels), <br /> b to store wiping c:toths in bleach solut'lon. <br /> 12_ 1 am providing the folinwlnn for adequate hand washing facilities, but separate from utensil wash within my <br /> booth' <br /> �Water supply dtSPen5W with wane water at a minimum of JOUT ti.e 5-2(1 gallon container with s 900 <br /> 0� <br /> One separate tub(bucket or basin)for the collection of rinsetwastewater <br /> r <br /> ~04_Paper towels and pLlMp-style soap container. <br /> 13 N es of responsib persons to be present in booth during all hours of operation: <br /> y of <br /> ion in <br /> -.Important" Atl food vendor booths are subject lno{�pSGtchecklist muleasest begin tttoe booth)at .111 holurrs of <br /> preparation for this event. A copy <br /> Preparation and operation Return on inal to festival coordinator three �s no to <br /> this eve �t-�NC/� J <br /> 14. Completed by Signature <br /> Title ate <br /> 5-2a Gal <br /> 1�a•,p wash LYator <br /> Srr11t i'._w I,nMTrn:fi <br /> Health Pe <br /> .�iCVF 4.5Cn�.�.r• <br /> '..a'%r K,Ilirtai <br /> baarl'i+rmtK(m <br /> Booth must be on <br /> an w,a s Concrete,t sph©ri, <br /> r} PUywood.or n Tarp. <br /> F�::.^anr"n•:A rilaach nne Wa W GaIbagts <br /> �ewalw- Rnun wateer Can <br /> swr a' <br /> rYal.r <br /> 5 Gal tiaO wash <br /> Y1aelcw�lel Canlair.c <br /> ICE CI?OIEr <br /> FrYa kn 8a9e d Food{;orrlRraerS rover Ce <br /> S{,rrcd 6 k,rllaa aNnl lP,e 9r"'dI �,�yy„,Sygov.orgf ehd <br /> T 209 468-3420 1 F 209 464-0136 T�rrta�vfr�T Apo <br /> 1868 E. Hazefton Avenue f Slockton, California 952059E rt tt <br /> EHp 15-02 <br /> 002812023 _. - <br />