Laserfiche WebLink
REC-008 <br /> SAN : J OAQU I N Environmental Health Department <br /> COUNTY <br /> Creo rnss QrnwS rC- <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> qetrigeraled <br /> aF(if food is used the followin , maintain below 41 cF temperature): <br /> e chests ✓ Refrigerator <br /> truck Ice bath and tubs <br /> ther(specify) <br /> 11. 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 /> Uon (one tablespoon of bleach per gallon of water). <br /> etergent, bleach, and wiping cloths(cleaning towels). <br /> j�ub 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 /> ✓INater supply dispenser with warm water at a minimum of 100°F(i.e. 5-20 gallon container with spigot). <br /> RIDne separate tub (bucket or basin) for the collection of rinse/wastewater. <br /> R�aper towels and Qum style soap container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Alejandro Kandalaft, Maria Castillo, Armando Carbajal <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 /> 14. Completed by: Owner 04/13/2024 SUBMIT <br /> Signature Title Date <br /> 5-20 Gril, <br /> Health Per Hand wash Water <br /> mit <br /> &erno wiCnafhns <br /> [hsh <br /> Paper Hand Towels <br /> Soap dks(tenser <br /> Cu16nS7 8bart1 sanroxer bucket' <br /> bleach gwaIer For <br /> Prapane5tove BleachsWruy wipn.cloths <br /> Booth muss be on <br /> If"1� Concrete,Asphalt, <br /> v xK Plywood,or a Tarp. <br /> Propane Tank <br /> Seatl AnN Wnler ftlrm water Bleach and Waler Garbage <br /> Can <br /> Fire F�tln�ulsher <br /> Faclra <br /> Water <br /> r <br /> Ice Cooler � SGal Hand wash <br /> E.'lre L-e Begs&FaacConlaners ffhml bo waslewster Cantarwr <br /> - t� stared 6 Indies all 01 lnagraundl <br /> 1868 E. Hazelton Avenue I Stockton, California 952051 T 209 468-3420 1 F 209 464-0138 1 www.sigov.org/ehd <br /> FHD 16.02 Paga 80f 11 TEMP EVENT APP <br /> a6119119 <br />