Laserfiche WebLink
R EC-008 <br /> S A N J OA Q U I N Environmental Health Department <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 following day,maintain below 41 OF temperature); <br /> tco chests ❑ 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 /> ❑ Three compartment sink. K <br /> 0R <br /> ❑ Three deep tubs (basins 6-6 inches minimum), one for soapy waler,,one for rinsing and one for a bleach <br /> solution (one tablespoon of bleach per gallon of water). <br /> ❑ Detergent,bleach, and wiping cloths(cloaning 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 dlspenser 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/waslewater. <br /> Paper towels and pump-style_soap container. <br /> 13. Na es of responsible persons to be present in booth during all hours of operation: <br /> Jam, n� <br /> "Important" Ail food vendor booths are subject to inspection, Please make a copy of this application in <br /> preparation for this evenl, A copy of this checklist must be in the booth at all hours of <br /> preparation and operation. Return original 10 fQstival coordinator three weeks prior to <br /> this even . " <br /> 14. Completed byre'?Jce,4 1. ('�wnA,- / 'Z <br /> Signature Title Date <br /> 1�ti'S;k;a,�sp' .y4r'.y•. U-Yi3{tat_ <br /> Health Permit Ha1141 WWI Vlale+ <br /> Slatow w Gbntbnd <br /> OIsl1 Paper kinriiowels <br /> Soup rllsgonser <br /> Culbnq aanrtl $Widlrer Wckul- <br /> binsch A wnlerfur <br /> •.,.I` stur,np WOOD tlrilss <br /> Propane Glow <br /> Boolh must to on <br /> Concrete,Asphall, <br /> Plywood,or a Ferry. <br /> Pmpal.0 Turk <br /> Suip.md Will, 14,31w{VAJ1 Ilfi••11111i.kt WalGl Garbage <br /> V Can <br /> I"Mc k,fnaus116r , <br /> Eris <br /> Vlac+ <br /> I <br /> Ice Cooler <br /> � .' Ctl+.l ha rt,ys6rco,1 L'oolar,c moat Ur W:nIC,Y,l10f GUili4ne <br /> M+1sV G u,tlt.a n!7ul I+v proronlr , <br /> 18613 I::, 1 laMton MOOLIC Stockton,Gnfifomn a 952051 T 209 468.3420 j F 209 464"0138 1 www.sjgov,wglef1d <br /> CHO 15 02 Page 8 of 11 TEMP EVENT APP <br /> Ofi'IA't4 <br />