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SAN J OAQ U I N Environmental Health Department <br /> ---COUNTY <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45aF(if food is used the following day, maintain below 41 pF temperature): <br /> Vice chests ❑Refrigerator <br /> ❑Refrigerated truck Vice bath and tubs <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 <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 /> ❑Tub to store wiping cloths In bleach solution. <br /> 12. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> ❑Water supply dispenser with warm water at a minimum of 100OF(i.e.5-20 gallon container with spigot). <br /> VOne separate tub(bucket or basin)for the collection of rinselwastewater. <br /> ❑ Paper towels and puma-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Mary Zhen <br /> "Important" 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 prior to <br /> this event. <br /> 14. Completed by: _ Owner 5/6/2024 <br /> Lure Title Date <br /> 5.20 Gel. <br /> Health Permit wrcna sta Band wash Water <br /> r.n lr:,g <br /> -Dish <br /> Paper Hand 7oweia <br /> Spap tllappneer <br /> Cutting Board Sanitizer bucket- <br /> bleachQ Water for <br /> Propane Stove Bleach storing wiping clothe <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp, <br /> Propane lank <br /> Spap and Ydeter Rinse Water Bleach and Water Garbage <br /> Can <br /> Fpp Fartinguisher <br /> Li <br /> Fads <br /> Cke Cooler r`T 6Gal Hand wash <br /> Extra Ice Bags 6 Food Contalnars must be Wastewater container <br /> stored 6 Inches alf of the groundr <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 T 209 468-3420 F 209 464-0138 1 www.sjgov.arglehd <br /> EHD 1"2 Page a of 11 TEMP EVENT P,PP <br /> 061191t9 <br />