Laserfiche WebLink
Booth must be on <br />Concrete Asphalt <br />Plywood or a Tarp <br />II <br />Garbage <br />Can <br />I <br />,rtn't TO..." a I <br />Santret Duc0e, <br />bleaCh *ate, tot <br />Stonng .ong cloth, <br />Soap d scenst, <br />C__J I <br />Soap and V. en. <br />E efIna %her <br />al <br />,oPe't.e St,•,e <br />Ice Cooler <br />SAN JOAQUIN <br /> <br />Environmental Health Department <br />I am providing the following cold temperature control for the cold holding of potentially hazardous food-3 below <br />45"F (if food is used the following day. maintain below 417. temperature) <br />[1] Ice chests 4-I.-Refrigerator <br />JX2ehigerated truck [ Ice bath and tubs <br />„2'Other (specify) I EN L ( <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br />AJ Three compartment sink <br />OR <br />E 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 />E Detergent, bleach, and wiping cloths (cleaning towels) <br />[1] Tub to store wiping cloths in bleach solution <br />12 I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth <br />j„1-11‘,/ater supply dispenser with warm water at a minimum of 100'F (i e. 5-20 gallon container with spigot). <br />[1] One separate tub (bucket or basin) for the collection of rinse/wastewater <br />E] Paper towels and pump-style soap container. <br />Names of responsible persons to be present in booth during all hours of operation: <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. 4 <br />i2 <br /> <br />Completed by . -2,---- ri (1 A a 1( > A )t if / 1-1/ <br />gnature Title) Date <br />Health Permit <br />wn ham •-ki <br />:13 (Sal <br />Hdoel Ater <br />T 209 468 3420 1 F 209 464 0138 I WWW SjgOV orgiehd <br />ra9e R of 11 TEMP EVENT APP <br />Scanned with CamScanner