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REC-008 <br /> SAN <br /> oQQ Environmental Health Department <br /> ;: .., COUNTY <br /> .�....... ,' G-,�Ui;ries5 grows hF£ _, <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45°F(it food is used the followin ,maintain below 41°F temperature): <br /> e chests Refrigerator <br /> efrigerated truck Ice bath and tubs <br /> If6 s <br /> ther(specify) <br /> 11. providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> hree 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 /> r--Ition one tablespoon of bleach per gallon of water). <br /> L_Ielergent,bleach, and wiping cloths(cleaning towels). <br /> Dub to store wiping cloths in bleach solution. <br /> 12. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> [ilater supply dispenser with warm water at a minimum of 100°F(i.e.5-20 gallon container with spigot). <br /> �j�ne separate tub(bucket or basin)for the collection of rinse/wastewater. <br /> ffaper towels and Aum -style soaa container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> 'Importard" 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. � r <br /> 14. Completed by: ,fin - ✓_ 13 SUBMIT <br /> Signature Title D <br /> ll® 5-20 Gal. <br /> Health Permit - Hand wash water <br /> Sterne wrChafffng <br /> Dish Paper Harrel Towels <br /> Soap dspenser <br /> Cutting Boats Saniti'artwcket- <br /> bleach 6waterlOr <br /> Propane Stave <br /> Bleach storing wipin�cloths <br /> Booth must boor <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Prc l-rle Tsnk <br /> Scapan�Water RinseWa[er Bleach aMWater t[bage <br /> . Can <br /> Fire Extinitulsher <br /> Extra <br /> Water <br /> e Cooler j 5 Gal Han riwash <br /> r <br /> �. Extra Ace Bags&Food Conlalnen;nwsl be Wastewater Cain( <br /> -- - Blared 67nchasad of the grouhdl <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 T 209 468-3420 1 P 209 464-0138 1 www.sigov.org/ehd <br /> EHD 16.02 Page 8 of 11 TEMP EVENT APP <br /> 06/19119 <br />