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RFC-008 <br /> SA N J OA Q U I N Environmental Health Department <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 /> t!�ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑Other(specify) <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> ❑Three compartment sink. N" <br /> OR <br /> ❑ Three deep tubs (basins 6-8 inches minimum), one for soapy waler,.one for rinsing and one for a bleach <br /> solution (one tablespoon of bleach per gallon of water). <br /> ❑ Detergent,bleach, and wiping cloths(cloaning 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 f 00aF(i.e. 5-20 gallon container with spigot). <br /> One separate tub(bucket or basin)for the collection of rinselwastewater, <br /> Paper towels and pump-sfyle soap container, <br /> 13, N es 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 oHmIntil to festival coordinator three weeks.pflor 10 <br /> this event. <br /> 14. Completed by. �/• X' /-Z-f <br /> Signature Tftie Date <br /> Health Permit tlarvfwnsl=vr°`�' <br /> Slung w Chnlhnd <br /> 8is}+ <br /> Pnper N:vrrlTaxels <br /> Soap dspunikr <br /> r'i ulfRri llnllttl �Wvllllef bucker <br /> tdnacl+h haler fur <br /> Propnnt Glsro <br /> Elk•m_i. clurn+ll VgVirg tlul+s <br /> 13wh mual be on <br /> Concrelo.Asphalt <br /> Plywood,or a Tarp. <br /> ?ruPara Titsr>, <br /> I <br /> Suap.nd Wtltr Fan5c lV.tsr flfench suns Wald Gnibego <br /> 0sn <br /> I'�c C+hnilush6r <br /> eva <br /> utter <br /> Ice Cooler i 4rta1limdAash <br /> ` ro hr a+gs is Food Centaurs must M, Wuslevaflef Cuul.i++Cr <br /> EhNr,Yf G l.r,J.vx a7 a1 rN grnwnl' <br /> 1f3Gt3 L, t lazolton Avenuo I StaCtlan,Cnlifolnia(35205 1 T 209 r168.3420 1 F 209 46,3-0138 1 www.9jgay.oi9/0h,d <br /> EHd I G 62 PRyn$of I 1 TEMP EVENT APP <br /> 0fa'1 Q'I rl <br />