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R EC-008 <br /> S A N J O A Q U I N Environmental Health Department <br /> COUNTY <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 OF temperature): <br /> U Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> U Other(specify)LARGE ICE CHEST <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> ❑Three compartment sink. <br /> OR <br /> U 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 /> NICOLAS, STEVE,JUAN SANCHEZ <br /> HELP COOKS ESTEBAN, MONICA, MARIELA, BRYAN, CARMEN <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. � ^•ane5eam1 �°� <br /> 14. Completed by: �.L°G�S�S'GA� 08-28-2024 <br /> 11g-17 <br /> 1-7U51t:�3re ieicraw+i coo--- Title Date <br /> 5-20 Gel. <br /> Health Permit Hand wash Water <br /> Sterna w.Chalfing <br /> Dish Paper Hand Towels <br /> Soap dispenser <br /> Culling Board Sanilizer bucket- <br /> bleach&walerfor <br /> Propane Stove Bleach storing wiping cloths <br /> Booth must be on <br /> O Concrete,Asphalt. <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Soap and Water Rinse Water Bleach and Water Garbage <br /> Can <br /> Fire Extinguisher <br /> ExVa <br /> Wafer <br /> Ice Cooler 5Gal Hand wash <br /> Extra Ice Bags 8 Food Containers must be Wastewater Container <br /> stored 6 inches off of the ground! <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 06119119 <br />