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Soap dispenser <br />5-20 Gal <br />Hand wash Water <br />Sterno wiChaffino <br />Dish Paper Hand Towels <br />Health Permit <br />Garbage <br />Can <br />Bleach and Water <br />5 Gal Hand wash <br />Wastewater Container <br />Cutting Board <br />Propane Stove <br />Propane Tank <br />Fire Extinguisher <br />Ice Cooler <br />Sanitizer bucket. <br />bleach & water for <br />storing wiping cloths <br />Extra Ice Bags & Food Containers must be <br />stored 6 inches off of the ground! <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />SAN JOAQUIN <br /> <br />Environrt ,r tal Health Department <br />COUNTY <br />I 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°F temperature): <br />Zrice chests El Refrigerator <br />LI Refrigerated truck El Ice bath and tubs <br />Other (specify) Cx7.(2-1-CIA._ <br />I anj,providing the following items within my booth for the sanitary cleaning of food preparation utensil <br />hree compartment sink. <br />OR ce <br />-/rtcee deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br />solu •n (one tablespoon of bleach per gallon of water). <br />1111' D -tergent, bleach, and wiping cloths (cleaning towels). <br />ub to store wiping cloths in bleach solution. <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />ater supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br />( VA ne separate tub (bucket or basin) for the collection of rinse/wastewater. <br />Paper towels and pump-style soap container. <br />,.. Names of responsib1 e persons to be present in booth during all hours of operation: <br />"Iniportant" 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 />Completed by: _ <br />this event. <br /> _cALF-4 <br />Title <br />1868 E. Hazefton Avenue l Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.orgiehd <br />EHD 16-02 Page 8 of 11 TEMP EVENT APP <br />06/19/19 <br />Signature Date