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Environmental Health Department <br />10. <br />11.i <br />OR <br />12. <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 />'aper towels and pump-style soap container. <br />13. <br />14.Completed by< <br />Sigi <br />Health Permit <br />Paper Hand Towels <br />Soap dispenser <br />Cuilinq Board <br />",/BleachPropane Stove <br />Ju <br />Propane Tank <br />Bleach and Woler <br />Ice Cooler <br />^Jzfhree 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 />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />cowling the following items within my booth for the sanitary cleaning of food preparation utensil <br />■ee compartment sink. <br />Slerno w/Chaffing <br />Dish <br />Exira <br />Waler <br />5 Gal Hand wash <br />Wastewater Container <br />Garbage <br />Can <br />Sanitizer bucket­ <br />bleach & waler for <br />storing wiping cloths <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />Extra Ice Bags & Food Containers must be <br />stored 6 Inches off of the ground! <br />SAN JOAQUIN <br />- - C O U N ’ Y • <br />0 <br />Rinse Water <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov org/ehd <br />EHD 16-02 Page 8 of 11 TEMP EVENT APR <br />06/29/2023 <br />of responsible per^cxisto^present in booth during all hours of operation: <br />Soap and Waler <br />I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />4£iPtif food is used the following day, maintain below 41 °F temperature): <br />tJ Ice chests Refrigerator <br /> Refrigerated truck Ice bath and tubs <br /> Other (specify) <br />Names of responsi <br />“Important’'* All food vendor bootfrs ar^subject to inspection. Please make a copy of this application in <br />preparation for this avent.j 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 /> or Ml oz4 <br />/ Title y Date / ' ■' / <br />Ms 5-20 Gal <br />r— Hand wash Water <br />s-~. l . | Fire Extinguisher