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SAN JOAQUIN <br /> Environmental Health Department <br /> ---COUNTY <br /> h erc of1entia[ly hazardous foods below <br /> 10. 1 am providing the foollowing cold temperature control far the cold hora�turge): <br /> 45-F(if food is used the following day,maintain below 41-F temPe <br /> ®ice diests ❑ Refrigerator <br /> Refrigerated tuck ❑ Ice bath and tubs <br /> ❑Other(specify? <br /> items within my booth for the sanitary <br /> cleaning of food preparation uten <br /> 11. 1 am providing the following s+7 Three compartment sink. <br /> OR water, one for rinsing and one for a bleach <br /> Throe deep tubs (basins 6-8 inches minimum), one for soapy <br /> solution(one tablespoon of bleach per gallon of water). <br /> pBtergenS,bleach,and wiping cloths(cleaning towels)- <br /> ®Tub to store wiping cloths In bleach solution. within my <br /> providing the following for adequate hand was <br /> facllftfes, but separate from utensil wash <br /> S z i am pro <br /> booth: <br /> supply dispenser with warm water at a minimum of 100'F(1•B•5-20 gallon container with Spigot)- <br /> p water pp Y <br /> One separate tub(bucket or basin)for the collection of rinseMastewater. <br /> .,,umrs-S G 4oa�container'�Paper towels and tion: <br /> 13. Names of respon <br /> sible persons to be present In booth during all hours of opera <br /> All food vendor booths are subJect to Inspection• <br /> Please make a copy of this application In <br /> „Important"' of this checklist must be In the booth at all hours of <br /> preparation for this even A copy <br /> reparation and opera atum on inai )festival coordinator hree weeks rior <br /> PQ <br /> p 0312812025 <br /> hl van ! ., �rr <br /> Title Rate <br /> 14, Completed by. Signature <br /> Hang wad+Wow <br /> P�Hrd Tars <br /> Health Permti s��'m"° <br /> so.o aromw' a�l+F <br /> BOA must be on <br /> Concrete, 0'aM. <br /> Plywood,or a TwP• <br /> Tu,a ar.m am WSW k3a►b ale <br /> Saorre WSW fa,+�+Wwr can <br /> fr0 �"' �* <br /> ww <br /> a or Hr�w� <br /> Ice Cooler W"'r""`" <br /> a roar co,rr,MP Prwr M <br /> Z04#84rgVehd <br /> -0138 I �'@'VOVemp NTA" <br /> if <br /> 18i58 E. Hezelton Avenue ( Stockton,Celifamle 46Z P60 8 0(Zoe 488"�ZQ I <br /> OKO 49402 <br /> 0710inou <br />