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COMPLIANCE INFO_2024
Environmental Health - Public
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EHD Program Facility Records by Street Name
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1600 - Food Program
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PR0515040
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COMPLIANCE INFO_2024
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Entry Properties
Last modified
4/7/2026 4:30:52 PM
Creation date
4/7/2026 3:58:34 PM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
FileName_PostFix
2024
RECORD_ID
PR0515040
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0006677
FACILITY_NAME
SJ CERT FARMERS MKT/DOWNTOWN TRACY
STREET_NUMBER
900
STREET_NAME
CENTRAL
STREET_TYPE
AVE
City
TRACY
Zip
95376
APN
23505517
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\ymoreno
Supplemental fields
Site Address
CENTRAL AVE TRACY 95376
Tags
EHD - Public
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10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45°F(i€food is used the following day, maintain below 41°F temperature): <br /> ® Ice chests ❑ Refrigerator <br /> ❑ Refrigerated truck ❑ Ice bath and tubs <br /> ❑ Other(specify) <br /> 11. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensils: <br /> ❑ Three compartment sink. <br /> OR <br /> ❑ Three deep tubs (basins 6-8 inches minimum), one for 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 /> 12. 1 am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br /> booth: <br /> ® 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. Names of responsible persons to be present in booth during all hours of operation: <br /> Mohamed Soufiene Zahaf, Mohamed Ali Bargaoui <br /> "Important' 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 /> 14. Completed by: <br /> S1 ure Title Date <br /> 5-20 Cal <br /> Health Permit P "anewashwater <br /> Srernv wlChatfrng <br /> Dish <br /> Paper Hand Towels <br /> Soap tlispenser <br /> Culhnp Board Sanitizer burkel- <br /> bleach&water for <br /> Propane Stove Bleach slunng wiping dolhs <br /> Booth must be on <br /> Concrete.Asphalt, <br /> Plywood,or a Tarp. <br /> Propane Tank <br /> Soap and Water Rinse Water Bleach and Water <br /> Garbage <br /> Can <br /> Fire EstinUuisher <br /> EHlra <br /> Water <br /> r <br /> Fce <br /> Obler 5 Gal Hand wash <br /> =.rnchas <br /> Food Containers mull be Waslewater Container <br /> of the ground.! <br /> EHD 16-02 Page 8 of 11 TEMP EVENT APP <br /> 08101116 <br />
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