Laserfiche WebLink
SAN JOAQUIN Environmental Health Department <br /> COUNTY <br /> 10. 1 am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br /> 45fF(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. 1 am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> ❑Three compartment sink. <br /> OR <br /> n 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 rinselwastewater. <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 /> Tom Jeffords, Megan Jeffords <br /> "Important" AH 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: 0-n-e r OL of /2a <br /> Sig ature Title Date <br /> S20 Gal <br /> Health Permit .end wish Wnar <br /> Slernp wlChMinq <br /> Doh <br /> Paper hand roweh <br /> Soap 6spenfer <br /> Cattirrp Board Sannaer bucket' <br /> oMsul 6 waist!or <br /> Propane Slew akach Wining*piny 00MS <br /> Booth must he on <br /> O Concrete,Asphalt, <br /> Plywood,or a Tarp. <br /> Pmpsna Tank <br /> soap and Wails Ali Water 66894h and Water Garbage <br /> Can <br /> FUe E&npWsher <br /> Es1+'a <br /> Wflf! <br /> Ice Cooler SGal.arrd wash <br /> Enuf ha Sys l Food Conrainea moat he Wastewater Cwwwar <br /> stand&Md*s ed of the prouWt <br /> 1868 E. Naze3ton Avenue I Stockton, California 952051 T 209 468-3420 I F 209 464-0138 1 www.sjcehd com <br /> EHp 1"2 Pape 8 o1 11 TEMP EVENT APP <br /> OWN17 <br />