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R EC-008 <br /> S A N J O A Q U I N Environmental Health Department <br /> COUNTY <br /> Grejtness grows here. <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45°F(if food is used the followin maintain below 41°F temperature): <br /> Ice chests El <br /> Refrigerator <br /> efrigerated truck ce bath and tubs <br /> Other(specify) <br /> 11. 0providing 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 /> F—Ition (one tablespoon of bleach per gallon of water). <br /> L_Petergent, bleach, and wiping cloths(cleaning towels). <br /> Dub 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 /> ✓&ater supply dispenser with warm water at a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> Zne separate tub(bucket or basin) for the collection of rinse/wastewater. <br /> W1aper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Alejandro Kandalaft, Maria Castillo, Armando Carbajal <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: �� Owner 9/4/24 SUBMIT <br /> Signature Title Date <br /> 5-20 Gal. <br /> Health Per Hand wash Water <br /> Sterna w,Chalfinf� <br /> Dish <br /> Paper Hanr Towels <br /> Soap dispenser <br /> Cuttlng Board Sanitizer bucket- <br /> bleach 8 water for <br /> Propane stove Bleach storing-N,I-cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> t <br /> "— Plywood,or a Tarp. <br /> Propane Tank <br /> 5;i Soap snr wafer 7=W.. <br /> :B1hoan.l Water <br /> Garbage <br /> Can <br /> Fire Exiinquisher <br /> f=xUa <br /> Wier <br /> Ice Cooler 5Gal Han�Fxlra Ice Bags B FoodConlaoers must be Wastewater <br /> ed 6 inches oft o1 the ground! <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHD 16.02 Page 8 of 11 TEMP EVENT APP <br /> 06/191,19 <br />