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R EC-008 <br /> SANsJOAQUIN Environmental Health Department <br /> COUNTY <br /> Greatnes- - --)ws here <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 450F (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 /> ❑ 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 pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation.- <br /> Patricia Vermilus, Esaie Vermilus, Rosemarie Sweet <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 /> 07 12 2024 <br /> 14. Completed by: �a��icC2��rYr�cCL�cd <br /> ...J1911dLU1C - Title Date <br /> 5-20 Gal. <br /> Handwash Waler <br /> Health Permit <br /> Sterna w'Chaffing <br /> Dish <br /> Paper Hand Towels <br /> Soap dispenser <br /> Cutting Board Sanifter buck el- <br /> bleach 8 water for <br /> Propane Stave Bleach storing wiping cloths <br /> Booth must be on <br /> O Concrete.Asphalt. <br /> Plywood.or a Tarp. <br /> IEEE:] <br /> ropane Tank <br /> Soap and Water ^nurse bValar Bleach and Water Garbage <br /> Can <br /> Fire Extinguisher <br /> Extra <br /> 4Vater <br /> Ice Cooler I/ 5 Gal Hand wash <br /> Extra Ice Bags 6 Food Containers must be Wastewater container <br /> -- stored 6 inches off of the ground! <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 /> EHD 16 02 Page B of 11 TEMP EVENT APP <br /> 06!19'19 <br />