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2 IJ re <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 />SANJOAMIN Environmental Health Department <br />in. ! nm prnvirling thg. fnilnwing r'n!ri tompArnt, irP nnr.tr ^! fel!' thg. r'n!r1 h.n!Hing (If pntimnti!!‘) hn7rr1nl fr,nric hP !rtlAt <br />45°F (if food is used the following day, maintain below 41°F temperature): <br />ce chests 0 Refrigerator <br />fl Refrigerated truck El Ice bath and tubs <br />7 Other (specify) <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br />0 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 />on (one tablespoon of bleach per gallon of water). <br />etergent, bleach, and wiping cloths (cleaning towels). <br />Ti ib tr) ctnr-P \.n/ipino rinthc in h!Prth cn!L!tinn <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />7I21 Water supply dispenser with warm 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 rinse/wastewater. <br />v2rPaper towels and pump-style soap container. <br />Names of responsi le persorA to be present in 0th during all hgurs of operation: <br />city Vies (Zeq <br />bo <br />),3 -MS <br />Propane Tank <br />**Important** <br />14. Completed by: <br />I Health Permit 1 i Stern° w/Challing <br />I Dish 1-1 <br />I Pr,-,w,o sto,,,,. <br />Cutting Board <br />\ 1C \ r=== <br />I ' I <br />1 --77.1-11 <br />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 td operation. eturn oriainal to festival coordinator three weeks prior to <br />this even <br />Sin <br />I ,7c71,-, <br />Soap dispenser <br />Title <br /> <br />Date <br /> <br />5-20 Gal <br /> <br />vow/ <br />Hand wash Water <br />1 Garbage <br />Can I <br />Soap and Water <br />txtinguisner <br />I Extra !cc 9 a g Fccd Conk:incr.: ;rue <br />I <br />stored 6 inches off of the ground! <br />Rinse Water Bleach and Water <br />Extra <br />Water <br />5 Gal Hand wash <br />Wastewater Container <br />L <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 l F 209 464-0138 I vvww.sjgov.orgiehd <br />EHD 16-02 Page 8 of 11 TEMP EVENT APP <br />06/29/2023