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R EC-008 <br /> i <br /> SAN - JOA UIN <br /> Q Environmental Health Department <br /> COU NTY— <br /> Gre(aile5s e1rows her('. <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 5OF(if food is used the following—day, maintain below 41 OF temperature): j <br /> I e chests Refrigerator <br /> efrigerated truck Ice bath and tubs I <br /> Cher(specify) j <br /> t <br /> �fprovlding 11. the following items within my booth for the sanitary cleaning of food preparation utensil <br /> ree 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 /> Lion (one tablespoon of bleach per gallon of water). 1 <br /> elergenl,bleach, and wiping cloths(cleaning towels). <br /> Dub to store wiping cloths in bleach solution. <br /> 12. loam providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> boot ' <br /> ater supply dispenser with warm water at a minimum of 100°F(i.e. 5-20 gallon containerwith spigot). <br /> �ne separate tub(bucket or basin) for the collection of rinse/wastewater, <br /> aper towels and pump style soap container. <br /> 13. Na es of responsible persons to be present in booth durin a I hours of operation: <br /> 6A �� ✓1 r� ?sG <br /> s <br /> i <br /> "Important" All food vendor booths are subject to inspection. Please make a copy of this application in j <br /> preparation for this event. A copy of this checklist must be In the booth at all hours of <br /> preparation ralion. Retum original to festival coordinator three weeks prior to ; <br /> this event. uJ Ne I <br /> 14. Completed by: (0 ! y suBnnlT <br /> Signature Title Date I <br /> 4nhas�`'fnd�4s�o6'a'�r'" 5-20 Gel. <br /> Health Permit s Hand wash Water j <br /> Slerno w/Challing j <br /> ❑ish II <br /> Paper Nand Towels <br /> Soep dispenser � <br /> Cult np[3oard saniti[erbucket- <br /> bleach 8walerlor I <br /> Bleach sl46,11 wipiny cbft <br /> Propane stove 1 <br /> Booth must be on j <br /> Ptywoodeorr aPTarp. <br /> Propene Tank <br /> Soap and Water Rlnso Water Bleach and Water Garbage <br /> Can <br /> Fire Exllnrtulsher <br /> fxlra <br /> Wafer <br /> -Ice Cooler 5Gal Nand wash <br /> Extra ke 1300s&FoodConlanars nrusl be wastewater Catlainer <br /> - s!ored 6!nches ol!of The ground! I <br /> 1868 E. Hazelton Avenue I Stockton,California 952051 T 209 468-3420 l F 209 464-0138 l www.sigov.org/ehd <br /> END 16.62 Page 8 of 11 TEMP EVENT AP <br /> 06/19!19 <br /> 1 <br />