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COMPLIANCE INFO_2024
Environmental Health - Public
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1600 - Food Program
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PR0535497
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
4/9/2026 3:18:36 PM
Creation date
6/2/2025 2:54:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0535497
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0020469
FACILITY_NAME
MUSIC IN THE PARK
STREET_NUMBER
25
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
MOUNTAIN HOUSE
Zip
95391
APN
20905010
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
25 E MAIN ST MOUNTAIN HOUSE 95391
Tags
EHD - Public
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REC-008 <br /> S A N J U A Q U I N Environmental Health Department <br /> COUNTY <br /> C;,-r:,.rc'sS gro •:s here. <br /> 10, 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 50F (if food is used the iollowinqAq, maintain below 41 OF temperature): <br /> Ice chests ✓ Refrigerator <br /> eatrigerated Truck Ice bath and tubs <br /> ther(specify) <br /> 11. providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> r/ hree compartment sink. <br /> 0R <br /> ❑Three deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> tlon (one tablespoon of bleach per gallon of water). <br /> etergent, bleach, and wiping cloths(cleaning towels). <br /> 17ub to store wiping cloths in bleach solution. <br /> 12. I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> ZWater supply dispenser with warm water a1 a minimum of 100°F(i-e. 5-20 gallon container with spigot). <br /> [�]Dne separate tub(bucket or basin) for the collection of rinse/wastewater. <br /> Riaper towels and pump-style soap container. <br /> 13. blames 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 operalion. Return original 10 festival coordinator three weeks prior to <br /> this event. <br /> 14. Completed by_ <br /> Owner SUBMIT <br /> Signature Title Date <br /> h-20 Gal. <br /> Health PermitP Hand wash Water <br /> Slerro w�ChaRi n1J <br /> ❑ish <br /> Paper JWan�k Towels <br /> Soap dispenser <br /> Cu[Gnp 9oard Sanihzer buckel- <br /> bleach&water for <br /> iropana5love &each s[orVry vn pin�Clot hs <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propene Tank <br /> Soapandi Wa!er Rinse.Water 6!eachand Water Garbage <br /> Can <br /> FI re Exlin�usher <br /> Extra <br /> Water <br /> Ice Cooler 5 Gal HanJwash <br /> Extra Ica Hags 8 PnooCtwg tiers rrwrl ba Wastewater Cania'ner <br /> sicred 6 ioMes oil or me yaund? <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 t6•Q2 Page 8 0111 TEMP EVENT APP <br /> 6B?19,'19 <br />
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