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R EC-008 <br /> SAN JOAQUIN Envir nmi ngal H rat h DepartIient <br /> ---C U N1 T Y-- <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 followin maintain below 41 T temperature): <br /> e chests Ref' erator <br /> efrigerated truck e bath and tubs <br /> 4Ic s <br /> Cher(specify) --- --- <br /> 11. providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> hree compartment sink, <br /> OR <br /> F� hhjYe <br /> ee deep cubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> n (one tablespoon of bleach per gallon of water), <br /> ergent,bleach, and wiping cloths(cleaning towels). <br /> JI�Fv J`b 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 /> �Nater supply dispenser with warm water at a minimum of 100OF(i.e. 5-20 gallon container with spigot). <br /> �e separate tub(bucket or basin) for the collection of rinse/wastewater. <br /> Paper towels and hump-style soap container. <br /> 13. Names of responsible persons to be pre ent in booth during all hours of operation: <br /> r <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 /> 14. Completed by: lam e' � �' �' �y ` 0-, f SUBMIT <br /> Signature u/ Tiil Dale <br /> =Permil' <br /> 5-20 Gal. <br /> Healt HandwashWater <br /> Stern*)Chat ling <br /> ❑ish Paper HanO Towels <br /> Soap dispenser <br /> CutUnq Beard Sanitizar bucket- <br /> bleach awaterlar <br /> Bleach staring wiping cloths <br /> Propane Stove <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Scapanl Water Rinse Water Bleach ana Water Garbage <br /> Can <br /> Fire Exiingulsher <br /> Extra <br /> Water <br /> Ice Cooler '' ^ - h Gal Hanrwash <br /> Erne-a Bags&Food Conretners must be Wastewater Container <br /> stored 61nches offal Me ground! <br /> 1868 E.Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHO 16-02 Page 8 of 11 TEMP EVENT APP <br /> 06,1119119 <br />