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COMPLIANCE INFO_2024
Environmental Health - Public
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1600 - Food Program
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PR0535497
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
4/9/2026 3:18:36 PM
Creation date
6/2/2025 2:54:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0535497
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0020469
FACILITY_NAME
MUSIC IN THE PARK
STREET_NUMBER
25
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
MOUNTAIN HOUSE
Zip
95391
APN
20905010
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
25 E MAIN ST MOUNTAIN HOUSE 95391
Tags
EHD - Public
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REC-008 <br /> SANJOAQUIN Environmental Health Department <br /> �I COUNTY <br /> r47 � Gres tness grm"'s here. <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> OF(if food is used the followincLdav, maintain below 41 OF temperature): <br /> Ice chests Refrigerator <br /> efrigerated truck Hce bath and tubs <br /> her(spedfy) �-c�y (_1a19-,:r�'4 Z'a< <br /> 11. np:viding the following items within my booth for the sanitary cleaning of food preparation utensil <br /> 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 /> Z-upon (one tablespoon of Bleach per gallon of water). <br /> tergent,bleach, and wiping cloths(cleaning towels). <br /> ub 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 i <br /> booth: <br /> OVater supply dispenser with warm water at a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> [Dne separate tub(bucket or basin) for the collection of rinsetwastewater. <br /> aper towels and pump-stile soap container. <br /> 13. Names of responsible pens s to be/ ens in booth ng all rs ofpopen ion: <br /> ✓�- '114 6 vse iciluts, <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 /> t as event <br /> 14. Completed by: - ZA i&h <br /> �! —� ��N s SUBMIT <br /> Signature Title Date <br /> s-20 cal. <br /> Ha ncl wash W aler <br /> Health Perm' SterrowlCtwh <br /> Dish Paper Barr Towels <br /> Soap dispenser <br /> CulLrra Poard S=lihe(WcMt- <br /> blench&rater for <br /> PrapaneS[ove <br /> Bleach <br /> Booth must he on <br /> O Concrete,Asphatl <br /> Plywood,or a Tarp ``I <br /> _Z' <br /> Propane Tank <br /> ---- SaapaM Water ninsa Wmer Bleachand Water Qarbage <br /> Can <br /> Fire ExtlrMuls;1 <br /> Exlra <br /> Water <br /> Ice Cooler �- -- 1 5m1�� <br /> fiyn Ye flogs&FoodConlanrn mnl be J Wasleonter Cmlainer <br /> siored 6 k )es off of the pMVW1 <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> E11)1&Q2 Page 8 of 11 TEV.p EVENT APP <br />
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