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r REC-008 <br /> SAN. � d�Q� � N Environmental Health Department <br /> COUNTY <br /> "ir 7i ri.,; ' { r-ettlllrr ss goows Iwrc. <br /> 10. 1 am providing ilia following cold temperature control for the cold holding of potentially hazardous foods below <br /> 50F(if food Is used the followina.dav, maintain below 41 OF temperature): <br /> ✓Ice chests Refrigerator <br /> Refrigerated truck ice bath and tubs <br /> ther(specify) <br /> 1 providing the following items within my booth for the sanitary cleaning of food preparation utensif <br /> hree compartment sink. <br /> OR <br /> [14Three deep tubs (basins 6-8 inches minimum), one for soapy water, one lot rinsing and one for a bleach <br /> tion (one tablespoon of bleach per gallon of water). <br /> ✓ eiergent, bleach, and wiping cloths(cleaning towels). <br /> nl 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 /> ✓ Nater supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br /> �ne separate tub(bucket or basin) lot the collection of rinse/wastewater. <br /> �aper 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 event. <br /> ?A <br /> 14. Completed by: Rawad Annan ____Manager 04/17/2024 SUBMIT <br /> ol�jmzitj re Title Gate <br /> msfiammanomma-zo Oal <br /> HeOh Permit Eland wash WnlAr <br /> Slarro w1ChAlbn� <br /> Dish <br /> Paper rfana Towels <br /> Saari d:spemsmr <br /> G,+IUitp aoa+d SAnldzer bucket• <br /> bleach&watarfor <br /> Pfa�ane S'.avc: <br /> alaacii s!orinr�'pinj cloths <br /> Booth must be on <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tenk <br /> �' saapan�Wnlar Masewalef aleachand Watmr <br /> Garbage <br /> Can <br /> F1ra Fxlingu lshar <br /> rxva —_ <br /> wWer <br /> foe cooler � 513A11•iAnt!�,sh <br /> ,• Fxlra ka ung a Fobricb 7ahan:nNls7 as Waslevster czainar <br /> - �1ce cooler <br /> scored s rncnms on of g+ovod! <br /> 1868 C. Hazelton Avenue I Stockton,California 95205► T 209 468-3420 1 IF 209 464-0138 1 www.sigov.org/ehd <br /> EHo 16•02 Page a o1 11 TErdP EVENT AP <br /> D6119119 <br />