Laserfiche WebLink
Y <br /> i <br /> z SA NUJ 0 A Q U N Environmental Health Department <br /> COUNTY <br /> Greatness grows here. <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45OF(if 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_ I gm providing the following items within my booth for the sanitary cleaning of food preparation utensil <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 1000F(i.e-5-20 gallon container with spigot)- <br /> ❑One separate tub(bucket or basin)for the collection of rinselwastewater, <br /> ❑Paper towels and pum>-s le soa container. <br /> 13. Names of responsible persons to be present in booth during all hours of operation: <br /> Jennifer MarrhFkll A Darren Sexton <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 on inal to festival coordinator three weeks prior to <br /> thf evento <br /> 14. Completed by: ffiOwner 11-14-25 <br /> Signature Title Date <br /> 5-M Gal. <br /> Health Permit Handwash Wa!er <br /> Od <br /> Stertio w.'Chafing <br /> sh Paper Hand Towels <br /> rJOap disperaef <br /> Cur eng Board SaniEzer bucket- <br /> bleach L water far <br /> Pwgane SSare 8teach stee7ng wt-0 dGths <br /> Booth must be on <br /> Frl <br /> Concrete,Asphalt, <br /> Plywood,nr a Tarp. <br /> Propane Tank <br /> WL <br /> Soap Warer Hirnr Watar ESeade and Water Garbage <br /> Can <br /> Waler <br /> Ice Cooler 5Gal Band mash <br /> Ettra ke&Vc 6 Food Gontafo�rrrrtbe Was water Con47 ner <br /> atoned 6 inches afFaf the graundr <br /> 1868 E_ Hazelton Avenue 1 Stockton,California 952051 T 209 468-3420 F 209 464-0138 [ www-sjgov-orglehd <br /> EH©1"2 Page got 11 TEMP EVENT APP <br /> 0&19119 <br />