Laserfiche WebLink
Environmental Health Department <br />10. <br />11. <br />OR <br />12. <br /> Paper towels and pump-style soap container. <br />13. <br />14. <br />Health Permit <br />p«o« tuna ro«w« <br />Propane Stove <br />I <br />Ice Cooler <br />Fxtn icit A Food Conivnon mutt be <br />itored fl inches ott of the gtound* <br />SMKnowOwffing <br />D^h <br />5 Got Hand wash <br />Wastawator Ccntanor <br />Garbage <br />Can <br />Booth must be on <br />Concrete. Asphalt, <br />Plywood, or a Tarp. <br />Santint i»k>«. <br />MokIi & »aler tor <br />storing wiping cloths <br />SAN.JOAOUIN <br />------COUNTY------- <br />Gteatncss grotvs here. <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 41OF temperature): <br /> Ice chests ^Refrigerator <br /> Refrigerated truck Ice bath and tubs <br /> Other (specify)_______________________________________ <br />PropanaTank <br />1868 E. Hazelton Avenue I Stockton. California 95205 | T 209 468-3420) F 209 464-0138 | www.sjcehd.com <br />EHD 16-02 Page 8 <W 11 TEMP EVENT APP <br />07/3/17 <br />Cullina Boanl <br />lam providing the following items within my booth for the sanitary cleaning of food preparation utensil <br />Three compartment sink. <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 />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />Mwater 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 />I Bto.cli <br />5-20 Gal. <br />r- Hand wash Waur <br />[ Soap *soanse |--------\ <br />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 />Completed by j'ZO) 2^ <br />* I J Signature Title Date <br />tnr <br />F <br />mnaawtw | | Baath and WMar | | <br />Nan^s of response pergjis to be p^ent in booU^uri^g ^llhou|s |>f oper|ti^n: | <br />•‘Important**