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R EC-008 <br /> S A N. 10A Q U f N Environmental Health Department <br /> � c0UNTY <br /> Greatness gro%vs hare, <br /> 10. 1 am providing the following cold temperature control for the cold holding of polenlially hazardous foods below <br /> OF(if food is used the followinaday, maintain below 41 OF temperature): <br /> Ice chests Refrigerator <br /> Refrigerated truck Hce bath and tubs <br /> her(specify) l/� <br /> 11. providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> L_yree compartment sink. <br /> CP JZ�hree deep tubs (basins 6-8 inches minimum), one for soapy water, one for rinsing and one for a bleach <br /> ion (one lablespoon of bleach per gallon of water). <br /> ergeni,bleach, and wiping cloths(cleaning towels). <br /> ub to stone wiping cloths in bleach solution. <br /> r <br /> 12. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> Dvater supply dispenser with warm water a1 a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> r <br /> K7ne separate tub(bucket or basin) for the collection of rinse/wastewater. <br /> aper towels and pump-style s container. <br /> 13. Names of responsible pers s to be ent in booth ng all�7rs of open ion: <br /> "Important" Al 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 or to <br /> t event <br /> 14. Completed by: <br /> C�wN� S SUBMIT <br /> Signature Title Date <br /> 5,za cwl. <br /> Health Perm' HandwashWaler <br /> 51erro rriChllfi� <br /> Dist, <br /> Papt'r Nafw TmreLs <br /> Soap d-rspansei <br /> Col Lrra Ewid San'j Yr <br /> /'' tr�ch 6�alerlor <br /> Propane 5{pve Bleach J sbru�rpm dohs <br /> Spdi1 mus!b6 Or1 <br /> Ca�cre6e,Aspha[L <br /> Prywtlod,or s Tarp <br /> Propane Tank V <br /> --"- Saaparw Werer filnso Wmer BleachwW Wafer Oarbaga <br /> Can <br /> Fire Fi11rM�kher <br /> E aUa I i <br /> Waloi I <br /> r._ <br /> Er is to!legs d Food Conla+rl le <br /> s rust ae 5 Chat I tar wash + .. <br /> Ice Cooler <br /> Warteror Crnreorar <br /> . awed6kers off ollhegntM) <br /> 186E E. Hazelton Avenue i Stocklon,California 95205 T 209 468-3420 1 F 209 464-0138 l www.sjgov.org1ehd <br /> Ell)1 fr 02 Page 8 of 11 TEMP EVENT T APP <br /> 06'1'd"17 <br />