Laserfiche WebLink
Environmental Health Department <br />10. <br />one for rinsing and one for a bleach <br />12. <br />13. <br />this event. <br />14.Completed by: <br />igni <br />Health Permit <br />Paper Hand Towels <br />Soap dispenser <br />Cutting Board <br />Propane Stove Bleach <br />J <br />Propane Tank <br />Rinse Water <br />Fira ExtinguisherA <br />5 Gal Hand wash <br />Wastewater Container <br />Garbage <br />Can <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />Stomo w/Cha!fing <br />Dish <br />Extra <br />Water <br />.5-20 Gal. <br />Hand wash Water <br />- F~'f__1 'I - <br />>oths are subject to inspection. Please make a c_ ‘ <br />------- A copy of this checklist must be in the booth at all hours <br />weeks prior to <br />XJU1- <br />- n <br />Fxtra tea Bugs & Food Containers must be <br />stored 6 inches off of the ground! <br />:: / <br />al <br />Soap and Water <br />iW1 <br />Sanitizer bucket­ <br />bleach S water for <br />storing wiping cloths <br />ure <br />Z— <br />Ice Cooler r j <br />Q^Water supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br /> One separate tub (bucket or basin) for the collection of rinse/wastewater. <br /> Paper towels and pump-style soap container. <br />providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />Names of responsible persons to be present in booth during all hours of operation: <br />2 -Uugs^ — <br />"Important** All food vendor haoihs are subject to inspection. Please make a copy of this application <br />prepara ion for Ithis event. A copy of this checklist must be in the booth at all hours of <br />ar®Peration- Return original to festival coordinator three weeks prior to <br />Title Date <br />11' □ ThZSpa^'nuSitemS Within ™y b°Oth f°r thS Sa,'itary C'eaninS °f f0°d preparati0" utensil <br />OR / <br />S/Three deep tubs (basins 6-8 inches minimum), one for soapy water <br />solution (one tablespoon of bleach per gallon of water). <br />LJ Detergent, bleach, and wiping cloths (cleaning towels) <br />U Tub to store wiping cloths in bleach solution. <br />SAN JOAQUIN <br />------COUNTY------- <br />Gres <br />' Ts^rood9 *P“y b— fOOdS <br /> Ice chests ^^Refrigerator <br /> Refrigerated truck ice bath and tubs <br /> Other (specify) <br />pho?k no Hazelton Avenue f Stockton, California 95205 ] T 209 468-3420) F 209 464-0138 | www.sjgov.org/ehd <br />07/01/2024 Pa9B 8 °f 11 TEMP EVENT APR <br />a <br />.j”