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Environmental Health Department <br />io. <br />11 I am |m<>\ hlicip ih<* followtnij itrni'i within fny booth for thr nmutary clonhing of fcxxl preparation irtorvjil <br />7h:rc ^xmip utmont sink <br />OR <br />12 <br />Wator supply dispposnr with warm water at a minirnurn of lOO’F (i o. 5 2f) gallon container with spigot). <br />3 One separate tub i bucket or basin) for the collection of rinse/wastewater. <br />' Paper towels and pump-style soaj) container. <br />13 <br />’’Important** <br />Completed by: 14. <br />- 31gnatun <br />Health Permit <br />Papef Hand Towels <br />Soap dispenser <br />bleachPtOff-ibe Shwe <br />I <br />Pl .I r.irt <br />Bleach and Water <br />fire Exlwifpitshr* <br />TEMP EVENT APP <br />Ice Cooler <br />I_ ._. .Extra Ice Bags & Food Contatien must be <br />sn>i^<J 6 riches off ot the ground' <br />Sterno w'Chathnq <br />f)n,I <br />Extra <br />Water <br />Sanitizer tiocket- <br />Meach & water far <br />storing wiping cloths <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />5 Gal Hand wash <br />Wastewater Container <br />' im providing the foflowino fot adoguate hand washing Incilitins, but separate from utensil wash within my <br />booth: <br />SAN JOAQUIN <br />COUN TY <br />I <br />Soap and Water Rinse Waler <br />5-20 Gai <br />Hand wash Water <br />-c n.'.'p tubs tha* ms b h in- hen minimum) nnr- fur •.r>apy water, one for rinsing and one for a bleach <br />. tmn mi' tabln.s|>oon of bCai h pel gallon of waler) <br />;vterg»ni bln<ich. and wiping t lolhs ((.loaning lownlu) <br />’ uh si store wiping cloth;- in bloat h solullon <br />I am providing the following r.old tempoialiire control for the cold holding of potentially hazardous foods below <br />-IS'I (if food r. usnrf the foiiowinn d.»v mnlhteln bnlnw 4ri temperature) <br />□ Ice chests { .] Rnfiigoramt <br />i Refrigerated truck I 11< c bath and tubs <br />O Otlv-i ih ! ■ - <br />Names of responsible persons to be present in booth during all hours of operation <br />__///c. <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 />7/K/z< <br />Title fDate <br />Garbage <br />Can <br />1868 E Hazelton Avenue | Stockton, California 95205 | T 209 468-3420) F 209 464-0138 | <br />EHD 1602 Page 8 of 11 TEMP eventai <br />07/01/2024 <br />[.Utting Board