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e <br />Signature Ti e <br />Paper Hand Towels <br />Sanitizer bucket- <br />bleach & water for <br />storing wiping cloths <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />Fire Extinguisher <br />Extra <br />Water <br />Ice Cooler <br />Extra Ice Bags & Food Containers must be <br />stored 6 inches off of the ground! <br />5 Gal Hand wash <br />Wastewater Container <br />ii SANsJOAQUIN <br />—COUNTY <br />AS:dr / <br />\C::,.10,0.,7fasY Grea tness arlws here <br />10. 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 />e)gr chests Refrigerator <br />Refrigerated truck <br />111 <br />El Ice bath and tubs <br />ce <br />1=I Other (specify) <br />a • providing the following items within my booth for the sanitary cleaning of food preparation utensil <br />Ai Three compartment sink. <br />Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br />on (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. I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />e (-Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br />ArOne separate tub (bucket or basin) for the collection of rinse/wastewater. <br />,,,1a per towels and pump-style soap container. <br />13. Nr7f res onsiA:•,pers ns to be presr booth d r'n II hou operation: <br />"Important** All food vendor booths)are subject to inspection. Please make a copy of this application in <br />preparation for • e ent. A copy 4, this checklist must be in the booth at all hours of <br />prepa ion • • . 0 ri ginal to festival coorrinator three weeks prior to <br />thi <br />14. Completed b <br />Environmental Health Department <br />Date( <br />5-20 Gal. <br />Sterno w/Chaffing <br />Dish <br />Soap dispenser <br />Cutting Board <br />Hand wash Water <br /> .., Bleach Propane Stove <br />Propane Tank <br />Soap and Water Rinse Water Bleach and Water Garbage <br />Can <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/ehd <br />EHD 16-02 Page 8 of 11 TEMP EVENT APP <br />06/29/2023