Laserfiche WebLink
r it 1!t <br /> -J O A Q U I N Environmental Health Department <br /> COUNTY <br /> L � <br /> Grvot)loss groves heiv. <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45'F(if food is used the following day, maintain below 41°F temperature): <br /> ❑Ice chests 9 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 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 /> �f 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 /> John Wall, Eric Fagundes, Frank Teixeira <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 <br /> 14. Completed by: < Owner 09/12/2022 <br /> Signature Title Date <br /> 5-20 Gal. <br /> Health Permlt }'andwast Waler <br /> Sierrm wKhalfing <br /> Dtlih <br /> Paper Hand Towels <br /> Soap d'spenser <br /> CulUrp Board Sanl[tzor buckei- <br /> bleach 3 wafer Tor <br /> Prcparw Slone Bleach scoring typing dclhs <br /> Booth must b0 On <br /> Concrete,Asphalt, <br /> Plywood,or a Tarp, <br /> PropaneTenk = - - ..� -.-�,��.= �__ - ue <br /> Soap and Water Rlnse Water Uleaeh and Water Garbage <br /> -_= Can <br /> -" rro Exlinpulsher <br /> x-= Psis <br /> Ice Cooler 5 Gal Hand wesh <br /> Extra Ico Bags 6 rood Contalners news,be Wastewater container <br /> stored 6 Inches off of the gnumdl <br /> 1868 E. Hazelton Avenue ( Stockton, California 95205 T 209 468-3420 j F 209 464-0138 1 www.sjgov.org/ehd <br /> EHo 1&02 Page 8 of 11 TEMP EVENT APP <br /> 061191,19 <br />