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REC-008 <br /> A U I N <br /> Environmental Health Department <br /> —COUNTY <br /> ("rilatfless groves herv. <br /> 10. 1 am providing lho following cold temperature control for the cold holding of potontlally hazardous foods below <br /> 50F(if food Is used the followin '--- below 4lnFternperature): <br /> ✓ <br /> R <br /> Ice chests 7Refrigorator efrigerated truck Ice bath and tubs <br /> Other(specify) <br /> I'l. OprovIdIng the following Items within my booth for the sanitary cleaning of food preparation utensil <br /> S/ hree compartment sink. <br /> OR ZThree deep luba (basins 6-8 Inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> r--',Itlon (one tablespoon of bleach per gallon of water), <br /> L_Petergent,bleach, and Wiping cloths(cleaning towels). <br /> 11rub to store wiping cloths In bleach solution. <br /> 12. 1 am providing the following for adequate hand washing facilities, but separate from utonsil wash within my <br /> booth: <br /> ater supply dispenser with warm wafer at a.minimum of 100°F(l,e. 5-20 gallon container with spigot), <br /> �ne separate tub(bucket or basin) for the collection of rinse/wastewater. <br /> aper towels and pump-style soaQ container. <br /> 13, Names of responsible persons to be present in booth during all hours of operation: <br /> JASPREET KAUR PADAM <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 PrIOL19 <br /> this event. <br /> 14. Completed by: OWNER 0412212024 <br /> Signaltrre T111le Dole <br /> 5.20 Gal, <br /> Heallh Permit 10nd wash WAtfir <br /> Slum ViXIIAI&AS <br /> Dish <br /> Paper Hand atiif I Own IS <br /> Mond,A vlatof for <br /> vorina,ulptna ciolm <br /> plopanfislovo Mach <br /> Booth must by on ! <br /> . ............. <br /> sopanoyenlof I LRIAMWIN ulfinch Ong walor <br /> Oun <br /> Ff(a WAAulshee <br /> 10 cooler F 5palflnnrivrnsb <br /> t <br /> Win ka Vogs A Food C01114 hoaw Ol ho Mlftnlaf Colt Alne <br /> Mod Vi)chas o/1,01 1ho qfaodl LY <br /> 186B E,Flazellon Avenue f5tookton,California 95205 1 T 209 468-3420 F 209 464.OiM I www,sjgov.org/ehd <br /> END M02 Page a of 1 i TEMP EVENT APP <br />