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R EC-008 <br /> SAN JOAQUIN Environmental Health Department <br /> �.1 C•UPATY <br /> ar <br /> ' Gre�tncss grcr.s r- <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 50F(if food is used the followin , maintain below 41 OF temperature)- <br /> Ice chests �lce <br /> Refrigerator <br /> efrigerated truck bath and tubs <br /> ther(specify) <br /> 11. Oproviding the following items within my booth for the sanitary cleaning of food preparation utensil <br /> hree 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 /> lion (one tablespoon of bleach per gallon of water). <br /> etergent, bleach, and wiping cloths(cleaning towels). <br /> o�ub to store wiping cloths in bleach solution. <br /> 12, lam providing the following for adequate hand washing facilities, but separate from ulensil wash within my <br /> booth: <br /> ✓INater supply dispenser with warm water at a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> RIDne separate tuna(bucket or basin) for the collection of rinse/wastewater. <br /> Riaper towels and VpQ-slyle soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation. <br /> Alejandro Kandalaft, Maria Castillo, Armando Carbajal <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. Retum orfgfnal to festival coordinator three weeks prior to <br /> this event. <br /> 14. Completed by: r Owner SUBMIT <br /> Signature Title Date <br /> 5-20 Gal. <br /> Heallh Permit Hand wash Water <br /> Star no w>r:hafling <br /> Call Paper Hand Towels <br /> Snap d19{)en5ar <br /> Cutting Boerd 92ni0¢er N ld et- <br /> hinach&watertnr <br /> Propane5[ave <br /> Bleach storing wiping cicihs <br /> Booth must be on <br /> Concrete,Asphalt <br /> Plywood,or a Tarp. <br /> pa <br /> Prone Tank <br /> Soap anoWnler Ninse water Blearn am wafer Garbage <br /> Can <br /> FireF�iin�ulsher <br /> �rtra <br /> water <br /> Ice Cooler � S Gal Hardwash <br /> Frrra ke Rags d ran.?Conlaiw!s must be was[enater Ccn:ainer <br /> -- -- - - stored 6 Indies Ott of the gra wi - <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sigov.org/ehd <br /> EHD 16.32 Page 8 of 11 TEMP EVENT APP <br /> WIT19 <br />