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SAN. OAQ U I N Environmental Health Department <br /> Greatness grow: here. <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45°F(if food is used the following day, maintain below 41 OF temperature): <br /> $] Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice 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 warn water at a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> ❑ One separate tub(bucket or basin)for the collection of rinsehvastewater. <br /> ❑Paper towels and pump-style s900 container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Ruben Caballero <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 oper ion. eturn original to festival coordinator three weeks pn to <br /> this event. <br /> 14. Completed by: Representative May 7,2024 <br /> Okii-n-ala Title Date <br /> 5-20 ar <br /> Health Permit Han°wash`VnW <br /> 5ien,o wlCfiafnnp <br /> DSh <br /> Papa Hand TwMs <br /> SwP Qiapanaer <br /> Gittlnp Bond Saftm txrkst- <br /> M n h 8 WOW for <br /> ihupa»SYrve &oath Morin7■ipft dona <br /> Booth must be on <br /> Concrete,Asphaft, <br /> Plywood,or a Tarp. <br /> Propwa Tank <br /> Soap aM Waler Rlnae Waler Blaarn a 4 W&W Garbage <br /> Can <br /> Fire Cxhnguaner <br /> / Waeer <br /> Ice Cooler 5 Gal Hand wwah <br /> Bros ke 8spa&FoW Corit era mat he W asrew�r CorA ner <br /> attired a inches oRor the piarn0! <br /> 1868 E. Hazetton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 I www.Sjgov.org/ehd <br /> EHD 1"2 Paige a of 1 f TFMP EVENT APP <br /> OW2912023 <br />