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RFC-008 <br /> SAN , JOAQUIN Environmental Health ep-ort�ient <br /> — CU N T —_ <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous ioods below <br /> 45°F(if food is used the followin , maintain below 41 OF temperature): <br /> Ice chests Refrigerator <br /> eirigerated truck Ice bath and tubs <br /> Other(specify) <br /> 11. 1 ncd providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> hree 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 /> ion (one tablespoon of bleach per gallon of water). <br /> LY:Jbetergeni,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 <br /> booth: <br /> 9 Jater supply dispenser with warm water at a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> E�ne separate tub(bucket or basin) for the collection of rinse/wastewater. <br /> Raper towels and puma-stye soap container. <br /> 13. Npees of responsible persons to be present in booth during all hours of operation: I <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 /> prepay and o eratio Return-odainal to festival coordinator three weeks prior to <br /> thi <br /> 14. Completed by: � ...u=�' <br /> Signature itle Date <br /> ."..,.'r 5-2t1 Gal. <br /> 4Health Permit HandwashWater <br /> Slerno w/Chatfing <br /> [list) Paper Hanil Towels <br /> Soap d(spanser <br /> Cuttlng Board Sanitizer buaei- <br /> bleach&waterlor <br /> staring wiping cloths <br /> Propane 91ove &each <br /> Booth must be on <br /> O Concrete,Asphalt, <br /> 4v <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> ;;;;:: ,Lg+° 3aap ana Water Rinse Waler Bleach aml Water Garbage <br /> i'7r: <br /> Can <br /> Fire ExtInyulsher <br /> 6cVa <br /> Waler <br /> ice Cooler "?,a'a' T- ry..> r�r„ r 5e- HanA wash <br /> Extra Ice Bags 8 Facd Contailers muSl be Wastewater Container <br /> - stored 6Inches 011 of the ground! <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 R 209 464-0138 1 www.sjgov.org/ehd <br /> EHD 16•D2 Page8nt 11 TEMP EVENT APP <br /> 06119119 <br />