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R EC-008 <br /> r pub:! <br /> S A N J O A Q U I I� Environmental �9��ahh Department <br /> ant <br /> COUNTY i <br /> (ireuincss grows here. j <br /> 10. I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 4 °F(if food is used the followin maintain below 41 OF temperature): <br /> Ice chests Refrigerator <br /> efrigerated truck ce bath and tubs <br /> ther(specify) <br /> 11. 1 providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> ORhree comparimenl sink. <br /> Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> tion (one tablespoon of bleach per gallon of water). j <br /> etergent,bleach, and wiping cloths(cleaning towels). I <br /> nfub to store wiping cloths In bleach solution. <br /> 12, 11 am providing the following for adequate hand washing facilities, but separate from utensil wash within my i <br /> booth: <br /> I <br /> []Hater supply dispenser with warm water at a minimum of 1000F(i.e. 5-20 gallon container with spigot). <br /> ,iF ne separate tub(bucket or basin) for the collection of rinselwastewater. <br /> aper towels and pump-style soap container. <br /> 13, Names of responsible persons to be present in booth during all hours of operation: <br /> i <br /> "}Important" All food vendor booths are subject to inspection. Pleasefnake 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. Retum oriainal to festival coordinator three weeks prior_ic, <br /> this even . <br /> 14. Completed by: Q SUBMIT i <br /> Signature Title fDai <br /> 6-20 Gal. <br /> Health Permit Hand wash water <br /> Slerno wtChel6nrg <br /> Dish <br /> Paper Hand Towels I <br /> i <br /> Soap dispanscr <br /> i <br /> L'ul6np[ioani Sanitizerbockel- <br /> bleach&walerlor <br /> PropanaStova ,t aac i st MI wiping cloths <br /> I <br /> Booth must be on <br /> Concrete,Asphalt, <br /> < r Plywood,or a Tarp. <br /> t '. <br /> Prcpsca lank ..._ . <br /> Soap anA Water Rose Water a!eech nnA Water Garbage <br /> �:. 11 <br /> Can <br /> Fi re Edingulsher ! <br /> ExMa <br /> WWer <br /> Ice Cooler i .9GnIHanAwash <br /> ( Fjklra Ica!Jags l Food ConlaLters must be Wastawalar Cent&er <br /> slored 8 inches all of the ground/ P I <br /> I <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 I T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHD 16.02 Page a of i i TEMP EVENT APP i <br /> 06/19/19 <br /> I <br />