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COMPLIANCE INFO_2024
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0535497
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
4/9/2026 3:18:36 PM
Creation date
6/2/2025 2:54:38 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0535497
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0020469
FACILITY_NAME
MUSIC IN THE PARK
STREET_NUMBER
25
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
MOUNTAIN HOUSE
Zip
95391
APN
20905010
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
25 E MAIN ST MOUNTAIN HOUSE 95391
Tags
EHD - Public
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10. I am prOVding the ta[owing cord terr oe;ature'contra fpr the cold holding of potentially hazardous SoaGs beiav <br /> jch_F H food is used]he follow r, mainta rs below G1'F 15igeratedtnler(sP'_fy� <br /> 17. providing the following items w0hin my booth for the sanitary leaning 01 food preparation utensil <br /> f reecompartment sink. <br /> OR <br /> �Fhree(je-p tubs (basins 6-8 inches minirnum), one for soapy water, one for rinsing and one for a bleach <br /> iion (one tablespoon of bfead� per gallon of water). <br /> tergent,bleadi,and wiping cloths(clearing towers). <br /> j�ubto stare wiping cloths in bleach solulion. <br /> f�_f1 <br /> 12. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth; <br /> 1767ersupplydispenserwith warm water at a minimum of 1001E(i.e. 5-20 gallon corriainerwith spigot). <br /> �rre separate tub(bucket or basin) for the cellection of rinsefwaste'aaler. <br /> W�aoer towels and m s1 e sca ecntainer. <br /> 11 Names of responsible persons to be present in booth during all hours of operation= <br /> JASPREST KAUR PAQAP f <br /> F `�1rnponaM" Afl food vendor booths are sublc-at 10 inspection. Please snake a copy of this application in <br /> �.a preparat-on for tl`3S event. A copy of this checkfiS1 must be in the booth at all hottrs of <br /> his everrt_on an operation <br /> this event- <br /> Fletum original to festival coordinator three weeks prior to <br /> -- <br /> 14. Completed by c p'rrri> R 04l2PJ2024 { a <br /> ignahtre Title s <br /> Date <br /> Ri F <br /> YM <br /> NOaiti• P2r71'1i; <br /> 9er�a v.�af cry <br /> ow <br /> 5oti7 d. �xT tlmw Toaeb <br /> �x axr,1 <br /> Sarue�ar.eta- <br /> Sodh must be on <br /> e Can le,Asphatt, <br /> Pywood,or a Tarp <br /> wv"�27>. SCn,"SS'N 4Ysi[r n1�5[1hfS1Lf 9iL'.YF.afar Walc G89g0 <br /> �`>.'o <br /> l�tU Van <br /> �76 <br /> W�St7 <br /> r <br /> Ice Cooler <br /> i�'' Ers'!^='F^S3 Fa�eC�:'r�rysrrssslCi Wssieen;e:Gov&her <br /> 858 E Hazel on Avenue Stockton, California 952051 T 209 468-3420 F 209 464 0138 : www zigo Org <br /> E�1-C2Iehd <br />
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