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R EC-008 <br /> S A N J O A Q U I N Environmental Health Department <br /> I.Y.■= --COUNTY <br /> `1,,_ ..•��' Grectrrss grows horr <br /> 10. 1 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 OF temperature): <br /> ❑ Ice chests [ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> U 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 /> solution (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. 1 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 100OF (i.e. 5-20 gallon container with spigot). <br /> One separate tub(bucket or basin) for the collection of rinse/wastewater. <br /> Paper towels and um -st Ie soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Armando Carvajal, Maria Castillo. Alejandro Kandalaft <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 operation. Return original to festival coordinator three weeks prior to <br /> this event. ^• •' °^_ <br /> 14. Completed by: I -- 07-23-2024 <br /> .7[0I fau IC Title Date <br /> 5-20 Gal, <br /> Health Permit <br /> Sterna w Ciialling Hand waste W aler <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cullm�Board Sarili'er buchel- <br /> bleach&waler for <br /> Propane Slove Bleach daring wiping CID(] <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Spap and VYaler Bmso Waler :Con:amer <br /> aler Garbage <br /> Can <br /> Fro EMI nipmsher <br /> Eava <br /> water <br /> Ice Cooler 5 Gad H <br /> Eynra he Bags 8 Food Conramfs M51 Pe Waslewat <br /> stored 6 inches off of the ground' <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org ehd <br /> EHD 16-02 Page B o1 I I TEMP EVENT APP <br /> M.'19'19 <br />