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* • <br />10 below <br />11 <br />OR <br />deep tubs (basins 6-8 inches minimum), one for soapy water one for rinsing and one for a bleach <br />12. <br />-SPaper towels and pump-style soap container. <br />13. <br />**lmportant** <br />14.Completed by: <br />Health Permit <br />Paper Hand Towels <br />Soap dispenser <br />Cutting Board <br />HloridiPropane Stove <br />Propane Tank <br />Rinse Water Bleach and Water <br />Ice Cooler <br />Extra Ice Bags & Food Containers must bn <br />stored 6 inches off ol the ground! <br />Extra <br />Water <br />Garbage <br />Can <br />Sanitizer bucket­ <br />bleach & water for <br />stonng wiping cloths <br />Booth must be on <br />Concrete, Asphalt. <br />Plywood, or a Tarp. <br />MWater supply dispenser with warm water at a minimum of 100°F (i.e 5-20 gallon container with spigot). <br />jS^One separate tub (bucket or basin) for the collection of rinse/wastewater. <br />Slerno w/Chatfing <br />Dish <br />5 Oal Hand wash <br />Wastewater Container <br />5-20 Gal <br />Hand wash Water <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 />this event. , <br /> Signature <br />SANJOAOUIN <br />( . 'I i N I <br />Trtle <br />Environmental Health Department <br /> • r—i r. <br />/ <br />Soap and Water <br />Fire Extinguisher <br />'gSj'hree (........................- ' - <br />solution (one tablespoon of bleach per gallon of water). <br />XI Detergent, bleach, and wiping cloths (cleaning towels). <br />®Jub 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 />□ Three compartment sink. <br />I am pmxrjdinp the filllowing cold temperature control for ttie cold holding of potentially hazardous foods <br /><45 'l: (if Mod is used the following day, maintain below 4IT temperature) <br />L’^klce chests [_J Refrigerator <br />I ] Refrigerated tmck Ice bath and tubs <br />[Kl Other (specify) <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth- <br />1868 E. Hazelton Avenue | Stockton. California 95205 | T 209 468-3420) F 209 464-0138 | www.sjgov.org/ehd <br />OTwSS Page 8 of 11 TEMP EVENT APP <br />Names of responsible persons to be present in booth during all hours of operation’ <br />