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R EC-008 <br /> S A N J O A Q U f N Environmental Health Department <br /> COUNTY <br /> Gr,.rt^^ss ,+rusts ! rr,- <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 450F(if food is used the following day, maintain below 41°F temperature): <br /> ❑ Ice chests [;J Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑Other(specify) <br /> 11, 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> U Three 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 /> solution (one tablespoon of bleach per gallon of water). <br /> ❑ Detergent,bleach, and wiping cloths(cleaning towels). <br /> ❑Tub 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 /> Water supply dispenser with warm water at a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> [ One separate tub (bucket or basin) for the collection of rinse/wastewater. <br /> Paper towels and pump-style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation. <br /> Aaryn and Latisha Jones <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 /> thisevent. =,a., �.s.•„•��-�m <br /> 14. Completed by. —��� 04-11-2024 <br /> ar`'�eieiiui`C Title Date <br /> 5-20 Gal. <br /> Health Per Hand wash Wafer <br /> Slerno w:Chalhng <br /> Dish Paper Hand Towels <br /> Soap dispenser <br /> Cul4ner Bbard Sanitize'buck- <br /> bleach&.,.,r for <br /> Prepane Slova &each storing wiping ddhe <br /> Booth must be ore <br /> Concrete,Asphalt, <br /> r — Plywood,or a Tarp. <br /> Prnpano Tank <br /> Soap and Water Horse water &oath and Water Garbage <br /> Can <br /> Fro EFbnpu,sher <br /> Ezka <br /> Water <br /> Ice Cooler 1 5 Gal Hand wash <br /> i i E#ra tee Bags&FoodComwers must be Wastewater Container <br /> srnred 6 rrWws a#of the ground! <br /> 1868 E. Hazelton Avenue 1 Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sigov.org/ehd <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 06/19119 <br />