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SAN JOAQUIN Environmental Health Department <br />[J VV-diC'--’ Siioply dispfi'Wei '^Vi wajrr; w.re al a minimum of 100 F (i.e. I?20 gailori container upigot) <br />L.! O iv S' -rsiraie tub (bicKei or tasini roi tne aillecilon of rinse/wastewater <br />U F'n;per (tjivels and pympjily n soar nont.iinei. <br />Names njsoorisinle parsons k; be i raivanl in booth during ail hours of operation: <br />‘*!rnf ort aril <br />(Z r. 4etf d r.r’ 1 <br />i <br />Health ^i.’iiril <br />rt I'-i ■>*''' <br />11 <br />I Uli I- I -I <br />EU <br />-p <br />;-.;e Cooier i <br />i I..'/er' K ; Si ■ <br />I am jzo'/Uii'.g the foiio/ving tor acleGijaie hand washing facilities, m.ii separate from utensil wash within rny <br />bootl-: <br />t.'i I ir j.’, deep i.ibs (ba.b.ns G-B inr.l ns ’nimmum), one for soapy watei one for rinsing and one fur a bleach <br />soluliori font; i-.iblespoon of bleach pa g.'illon of waler). <br />! ] D )tert|.c,.l. bteach, arid wiping cloths (cleaning (oweis) <br />’j Ini! I- f.l:.i:t) wiping cloths in blearh solution. <br />.illuii. <br />£• rn <br />I r.il 'd} .W Sjiyj ■ iCi -i I.i <br />>-VP ' - <br />r/ <br />b-H.- Stl <br />VM1 •'•■• <br />P.OOth ITIUSI l?c; <br />As ' <br />■1. kW.-ii. or n r b' <br />Lvefti 8 .'rtinh for <br />;ir•!! a ■.. :*sh-- <br />I an-. uiC’.'it.i ■ :j the following coicl 'em:;vi-: lure tonlrol for 'he cole holding of potenlially lio.’ardous foods oelow <br />46'F - i tr-u I is used the fallowing ■Jay. maintain below -^‘F temperatine) <br />EJfoi •nest? l... -< •’ <br />L ] ruck 6 |_‘j. lea bath and tubs <br />Qc-h-? (‘.ps-cM_______^.C.C.^('.'L-r. ___________ _____________ . . ................... <br />lam provid-ritj tho following item* wilb.m my booth for the sanitary cleaning of food preparation utensil <br />[_] Throe couipailmentsink. <br />AH food vendor txote:-. are subject to inspection. Please make a cupy oi Ulis application in <br />preparation far th>s f.-sf.-nt <br />{’npa- 'iicin and opP•"; ion Return original to festival cgoromatgi linen weoks prior to <br />o^.d?>r <br />Title Date <br />| T : r <br />q <>' I <br />I • ’ r xfrui'nsHr <br />A copy of this checklist must be in the booth at all hours of <br />Ki KlO RelllT <br />Signature