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R Ec-008 <br /> S A N J O A O U I N Environmental Health Department <br /> 10. 1 am providing the lollowing 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 /> Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other (specify) _-----------------__._.__.__.� <br /> 11- 1 am providing the lollowing items within my booth for the sanitary cteaning of food preparation utensil <br /> ❑ Three compartment sink. <br /> OR <br /> ❑ Three deep lubs (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 Irom 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 /> "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 s�eye rat. <br /> 14. Completed by- <br /> Signature Title Date <br /> Health Permit H:rra waytr water <br /> Srcn•u w ChalLr,a <br /> DO Pape,H;.,,d Towels <br /> :xaa dsare„s�r <br /> Cathnq�oaut Sar,,hzer b:lr.u;r <br /> olcach 8 water for <br /> F� lu"s <br /> 0 r Booth must be on <br /> Concrete.Asphalt. <br /> Plywood,or a Tarp. <br /> ProGsa c Tsnk <br /> s;.n,,rr d w„!r, ra r e w,_r or..,. .,•, :r.n'r' Garbage <br /> Can <br /> 1� Ice Cooler :,_._ ...--- -, SGai H.,•uf wox, <br /> 1 L&&j ke Hags J F004 Co•e,rn mrrrrn;�tx•.. <br /> 1111 &"ed 6 xrCfft ON al rnr yrWrKJ' <br /> 1868 E. Hazellon Avenue I Stockton.California 95205 i T 209 468-3420 F 4,,c; 4C-a 0138 ehd <br /> EHU 16 02 Page$n1 11 TEMP EVENT APP <br /> 05 19 19 <br />