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RFC-008 <br /> S a NCI Q W N Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> of(if fond is used the followin , maintain below 41 T temperature): ! <br /> Ice chests Refrigerator <br /> eMgerated truck ce bath and tubs <br /> � <br /> her(specify) <br /> 11. providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> Lhree compartment sink. <br /> OR <br /> hree deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> on (one tablespoon of bleach per gallon of water). <br /> .LPetergent,bleach, and wiping cloths(cleaning towels). <br /> ub to stare wiping cloths in bleach solution. <br /> r <br /> 12- 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> 55yater supply dispenservVdh warm water at a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> Lam` <br /> r <br /> K�ne separate tub(bucket or basin) for the collection of rinsefwastewater. <br /> apex towels and pump-style soaQ container. <br /> 13. Names of responsible pers s to be went in booth ng alf�}�yrs of operation: <br /> "Importard" 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 gxior to <br /> t eve <br /> 14. Completed by: d� f'L— �_- 2 SUBMIT <br /> Signature Title Date <br /> 5,20 Cal. <br /> Hand wash W alei <br /> Health Perm Sterrowrtwhrb <br /> ❑ah Paper!-IerV Tavrefs <br /> Soap di:Pe nscr <br /> i <br /> Cut hrrd(Hard Samar'brxk Fe <br /> blr�+ch Swaterlar <br /> preach siorinj wpiry dxhs <br /> PrnpanG SroYe <br /> Booth mull be on <br /> CorlcreDa.Aspharl. <br /> Ptywoocl,or a Tarp. I <br /> PmMne Tank f <br /> - - Soap and Wolee Hansa Waler Bleach and Mier Gage <br /> Can <br /> Fire E.ilr�ulshcr <br /> [Alta <br /> Wa?cr <br /> Ice CaDler sclalrwr wash <br /> FiWn ke ctxjs d FeoA confeirn rreui be Was[efaler Cenlliner p <br /> Owed 6klbb off cithepno ) <br /> 1868 E. Hazellon Avenue I Stockton,California 95205 T 209 468-3420 F 209 464-0138 ! www.sigrv.org/c-trd <br /> MD 1&02 pagc8d 11 MAP EVENT APP <br /> p6'13'19 <br />