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R EC-008 <br /> SAN�t1DAQUIN Environmental Health Department <br /> Lill ._. COUNTY <br /> 10. l am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45OF(ii food is used the following day, maintain below 41 OF temperature): <br /> ❑ Ice chests Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(spebty) <br /> 11. I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> 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 /> this event. —- „,.,,,y,,, .E .. .,, <br /> 04 11 2024 <br /> 14. Completed by <br /> : <br /> ►�il Ei7lIJIC� tl, arr�pr� Title Date <br /> 5-20 Gal <br /> Health Per Tlit Hand washwaler <br /> Stern¢wChalhng <br /> 0rsh <br /> Paper Hand Towels <br /> Scrap dispanscr <br /> Cwunp Board sarnnuer buckel- <br /> bleaO&water for <br /> Propane Stove poach slnnng wipmrp cloths <br /> Booth must be on <br /> O Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> 1 <br /> ProVane Tank <br /> Soap and Water H,w:,L <br /> nd Water Garbage <br /> Can <br /> Fre Eshnpmisher <br /> Ice Cooler Fmra ke Sags 8 Food Confavers nwsr be <br /> -- stored 6 ruches off o1 the ground' <br /> 1868 E. Hazelton Avenue � Stockton. California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org ehd <br /> EHO 16.02 Page 8 of 11 TEMP EVENT APP <br /> 0 IT19 <br />