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R EC-008 <br /> 1 <br /> SAN.''J0AQUIN Environmental Health Depet+tmet I <br /> CSUNTY I i <br /> (37ferrlr!r,'5S 9fos-rs I)(!I.(!. <br /> 10, 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below # 1 <br /> 5O (If food Is used iho followln ,of <br /> below 41 OF temperature): } <br /> ✓Ice chests <br /> s�ofrigorator <br /> elrfgeraled truck toe Math and tubs <br /> Cher(specify) _ -- <br /> 11. providing the following Items within my booth for the sanitary cleaning of food preparation utensil <br /> 1 hree compartment sink, <br /> OR <br /> ✓ZThreo deep tubs (basins 6.8 Inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> 4f lion (one tabIQspoon of bleach per gallon of wator), <br /> etergeni,bleach, and wiping cloths(cleaning towels). <br /> ub to store wiping cloths in bleach solution, <br /> 12. 1 am providing the follawlnp for adequato hand washing laellitlos, but separate from utensil wash within my i <br /> boolh: <br /> ZIVater supply ftponser with warm water al a mtnlmum of 100°F(f,e. 5-20 gallorl container with splcgol). <br /> �ne separate tub(bucket or basin) for the collectlon of rinse/waslewater. E <br /> I <br /> �aper towels and aumb•slylo soap container. <br /> i <br /> 13. Names of responsible persons to be present In booth during all hours of operation: <br /> II <br /> "Important" All food vendor booths are subject to Inspecllon. Please make a copy of this application In ! <br /> preparation for this event. A copy of this cheoklist must be In the booth a1 all hours of <br /> preparation and operation. Ftelum orictinaf to festival cvordlnatvr three weeks ariar lo. <br /> 1 <br /> Gorn <br /> 14. feted by:.Rawad ArrnanYOA _ iVianagel• D41f712Q24 <br /> tilts event, <br /> p <br /> 8 noiure Title Date <br /> I <br /> 6.20(3a1, <br /> Health Pormli HondwcartlValor <br /> storm vx.Wrins i <br /> r71Yh <br /> Papa Honl7Jnrols <br /> Soepdr6pensor ; p� <br /> CulOn4lloard 8"IJtdrasutkot- <br /> hroottt Ewatnrlor I! ` <br /> f'Inpnnnslnvn 4lopch s:orrnawfpin�elolhs ', <br /> Routh rnual <br /> TConcrelo,Ap <br /> EPlywood,or j <br /> 1 1 <br /> flnnytanr!Wnlar AinsoWnlor 41oo-GtnAdWitter <br /> Can <br /> S�:II rvT <br /> "' - Firo�xllnR�lshel 1 <br /> Ice Cooler 5(JaiHonlwady 1 <br /> G'xrro ka Hops S!"rsnrlL'a+InYlo-rs nNJs!La <br /> WnslJJwnlor Cmtnlno-r I <br /> •---•--- -- — .- sto+Gd6lnMesanolmnptaonrrl i <br /> i <br /> 1860 E, Hazelton Avenue I Stockton,California 95206 f T 209 408-3420 1 C 209 464-0138 j www,sjgov.org/chd j <br /> CI.10 15•n2 Pago a of 11 'TEMP r-VPNT APP <br /> oatlsrsa <br />