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COMPLIANCE INFO
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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PR0535497
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COMPLIANCE INFO
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Entry Properties
Last modified
6/8/2026 11:55:10 AM
Creation date
6/8/2026 11:50:49 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0535497
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0020469
FACILITY_NAME
JUNETEENTH CELEBRATION
STREET_NUMBER
25
Direction
E
STREET_NAME
MAIN
STREET_TYPE
ST
City
MOUNTAIN HOUSE
Zip
95391
APN
20905010
CURRENT_STATUS
Active, billable
QC Status
Approved
Scanner
SJGOV\tchampion
Supplemental fields
Site Address
25 E MAIN ST MOUNTAIN HOUSE 95391
Tags
EHD - Public
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9. <br />□ Other (specify) <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensils:10. <br />I^LThree compartment sink. <br />OR <br />11. <br />Ij&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 />12. <br />13.Completed by: <br />Signature <br />Paper Hand Towels <br />Soap dispenser <br />Culling Board <br />J BleachPropane Slovo <br />a <br />Fire Extinguisherfl <br />Ice Cooler <br />Page 8 of 11 TEMP EVENT APP <br />Health Permit [i <br />Title <br />EHD 16-02 <br />08/01/16 <br />**lmportant** 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 Averts <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />REC-001-B <br />I 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 />Extra <br />Walor <br />5 Gal Hand wash <br />Wastawator Container <br />Sanllizor buckol- <br />bieachS. water for <br />storing wiping cloths <br />Booth must be on <br />Concroto, Asphalt, <br />Plywood, or a Tarp. <br />4^l_lce chests <br />□ Refrigerated truck <br />Storno w/Chafflng <br />Dish <br />'■[^'Refrigerator <br />□ Ice bath and tubs <br />5-20 Gal. <br />Hand wash Water <br />Garbage <br />Can <br />Extra lea Bogs & Food Containers must be t <br />stored 6 Inches oil of the ground! <br />Date <br />It <br />Rinso Water <br />Propano Tank <br />‘‘''^Detergent, bleach, and wiping cloths (cleaning towels). <br />JTub to store wiping cloths in bleach solution. <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 />^^Paper towels and pump-style soap container. <br />Names of responsible persons t(^ be present in booth during all hours of operation: <br />f\\ocRf <br />st: <br />Soap and Waler
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