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Propene Stove <br />Stemo w/Chaffing <br />Gish <br />5-20 Gel. <br />Hand wash Water <br />Paper Hand Towels <br />Garbage <br />Can <br />1 Extra Ice Begs & Food Containers mu & be <br />stored 6 inches off of The ground , <br />5 Gal Hand wash <br />Wastewater Contaner <br />Soap dispenser <br />Cutting Board Sanihzer bucket- <br />bleach & water for <br />staging wiping cloths <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />, —COUNTY <br />SANAOAQU IN <br /> Environmental Health Department <br />Greatness grows here. <br />10. I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />35°F (if food is used the following day, maintain below 41°F temperature): <br />161 Ice chests El Refrigerator <br />0 Refrigerated truck El Ice bath and tubs <br />0 Other (specify) <br />It:n providing the following items within my booth for the sanitary cleaning of food <br />E Three compartment sink. <br />OR <br />CI Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for <br />solution (one tablespoon of bleach per gallon of water). <br />0 Detergent, bleach, and wiping cloths (cleaning towels). <br />El Tub 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 />'Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br />CI One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />0 Paper towels and pump-style soap container. <br />Names of responsible persons to be present in booth during all hours of operation: <br />Delf-rtii-Fitqfyr-- Octavio Alegria <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 o rati , Return original to festival coordinator three weeks prior to <br />this event. <br />-61 Representative 3-27-24 <br />ure Title Date <br />1868 E. Hazetton Avenue I Stockton, Califomia 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/ehd <br />END 16-02 Page 8 of 11 TEMP EVENT APP <br />06/19/19 <br />preparation utensil <br />rinsing and one for a bleach <br />Completed by: