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REC-008 <br />Environmental Health Department <br />10. <br />11. <br />OR <br />12. <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 />13. <br />this event. <br />Completed by: 14. <br />Title <br />Health Permit <br />Paper Hand Towels <br />Propane Slovo <br />Fte Eilinquisher0 <br />Ice Cooler <br /> Three deep tubs (basins 6-8 inches minimum), one tor soapy water, one for rinsing and one for a bleach <br />solution (one tablespoon of bleach per gallon of water). <br /> Detergent, bleach, and wiping cloths (cleaning towels). <br /> Tub to store wiping cloths in bleach solution. <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br />Q Three compartment sink. <br />Sier no w/Chaffing <br />Dish <br />Garbage <br />Can <br />Sarnlizer Cuckel- <br />Woach & waler lor <br />storing wiping dcths <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />5 Gnl Hand wash <br />Wastewater Container <br /> Booth must be on <br />Concrete. Asphalt. <br />Plywood, or a Tarp. <br />I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />45°F (if food is used the following day, maintain below 41 °F temperature): <br /> Ice chests Q Refrigerator <br /> Refrigerated truck Ice bath and tubs <br /> Other (specify) <br />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 />Signature <br />Names of responsible persons to be present in booth during all hours of operation: <br />Gurdial Singh <br />Baljinder kaur <br />"Important** <br />08-27-2025 <br />Date <br />SAN JOAQUIN <br />-COUNTY----- <br />Greatness grows here. <br />d. <br />Soap and Walor <br />Propane Tank <br />I Bleach <br />1868 E. Hazelton Avenue | Stockton. California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />EHD 1602 Page Sol 11 TEMP EVENT APP <br />06/19/19 <br />ZZ <br />I Rinse Waler <br />I Cultno Board <br />Exea lea Boga 4 Food Comanem inuel be f'| <br />mored 6 inebea oH o< rhe ground! HI <br />5-20 Gal <br />y- Hand wash Waler <br />I Soap dispenser I --------- \ <br />T Bleach and Waler <br />Extra <br />W.eer