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REC-008 <br /> S A NA A Q U I N Environmental Health Department <br /> i , i •: '? -----C!U N T Y— <br /> "I,,r,,.,,;`` Grec�kne» lrotirs her<�. <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 1Ic50F(it toad is used the foilowin , maintaln below 41 OF ternperalure): I <br /> e chests Refrigerator <br /> efrigerated truck Ice bath and tubs <br /> ther(specify) <br /> 11. L providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> hree 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 /> �lon (one tablespoon of bleach per gallon of water). <br /> etergent,bleach, and wiping ciolhs(cleaning towels). <br /> ub to store wiping cloths In bleach solution. <br /> 12• l am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> �ator supply dispenserwith warm water at a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> �ne separate tub (bucket or basin) for the collection of Onse/wastewater, <br /> E'aper towels and Bump-style soak container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Daniel & Cecilia Guy <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. Retum original to festival coordinator three weeks prior to <br /> this event._ <br /> 14. Completed byZ Co-Owner 04/18/2024 SUBMIT <br /> u Ignawre Title Date <br /> 5.29 f3si. <br /> Handwoo WaW <br /> Icalih t'ern�il s,arnw�nalrne <br /> Paper Hong Tawefs <br /> Soon dsnonsor <br /> Culfrgl Etoar6 Sanitizerh„ckeS- <br /> 4laach 0.wa[arlar <br /> Bleach mrins vAprn'ekwhs <br /> Prapana3love � - <br /> F13o.dh <br /> must be onete,fisphalt,00d,ar a'TBrp. <br /> i <br /> Nro,,aneTenR - <br /> r _Var.oMitor HIncewa or B`ILc.oa,vW11W- Garbag© I <br /> Can <br /> - - flI/`��If' FuaE%Nn�ul9he! <br /> LJ it%Ira - — 1 <br /> W sle r <br /> Ice Cooler 5UM Hunt weal, �r <br /> Extm k:n Hags S AwdL'onlahsrs muss 011 We9la;sale!CCnl�inar <br /> sMrod B Ir:chas a!I a!ihaground! - <br /> 1868 F.Nazelton Avenue Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehcl <br /> EHO 16.02 Pape 80111 TEMP EVENT APP <br /> 013l1 S!15 <br />