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REC-008 <br /> Environmental Health Department <br /> SAN.IJOAQUIN <br /> 1. ________COUNTY— <br /> reo t/it"s S groves here, <br /> 10, 1 am providing the lollowing cold temperature control for the Gold holding of potentially hazardous foods below <br /> 5°F(if food Is used the lollowln�_W maintain below 41 OF temperature): <br /> ✓ice chests Refrigerator <br /> elrlgeraled truck Ice bath and tubs <br /> H <br /> (her(specify) <br /> providing the following Items within my booth for the sanitary cleaning of food preparation utensil <br /> Hiroo compartment sink, <br /> C)R ZThree deep tubs (basins 0-8 Inches minimum), one for soapy water, one lor rinsing and One for a bleach <br /> 0 llon (one tablespoon of bleach per gallon of water), <br /> etergient,bleach, and wiping cloths(cleaning towels). <br /> ❑rub 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 /> ater supply dispenser with warm water at a minimum of 100°F 001F(i.e. 6-20 gallon container with spigot). <br /> ZN <br /> ne separate tub(bucket or basin) lor the collection of rinse/wastewater. <br /> aper towels and pumv-style soap container. <br /> 13. Names of responsible persons to be present In booth during all hours of operation: <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, Rellu m original to festival coordinator three weeks prior IR <br /> tills event. <br /> 14. Completed by: ,Rawad Annan Manager 04/17/2024 <br /> Tille Dale <br /> S•20 Oat, <br /> "and W0511 Walor <br /> Health Permit It <br /> Memo wK.Ndrins <br /> Dish Paper Hani Towels <br /> GvlUop Beard anniftatbuckol- <br /> blanch AwltlftO <br /> Propanaa4ova010ach s!oring Wong cb100� <br /> Booth inkist be on <br /> Concrete,Asphait, <br /> Plywood,or a Tarp. <br /> LSnAll AM r 11 Wolo1no wow Blanch and Mier Garbage <br /> can <br /> Ice 5 oni Hnni wth <br /> M14 ka 1100S S Foodconiallers DNA!ba wasmwnlo?emitilm <br /> -Cooler___ slotod Cinches offoltheilmond) <br /> 1866 C. Idazolton Avenue I 51ockion,California 05206 T 209 468-3420 1 F 209 464.0136 1 www,sigov,org/elid <br /> CMD 1 R•DR Page a of I 1 TEMP EVENT APP <br />