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Environmental Health Department <br />11. <br />OR <br />12. <br />JgPPaper towels and pump-style soap container. <br />13. <br />14.Completed by: <br />Health Permit <br />Paper Hand Towels <br />Propane Stovo <br />Soap and Waler Rinso Waler Bleach and Water <br />Fire Extlnqulsher <br />i <br />i <br />I <br />I <br />I 5 Gal Hand wash <br />Wastewater Container <br />Garbage <br />Can <br /> Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />^A/Vater supply dispenser with warm water at a minimum of 100°F (i.e. 5-20 gallon container with spigot). <br />t^stOne separate tub (bucket or basin) for the collection of rinse/wastewater. <br />Extra tee Baus & FoikI Containers must be <br />stortKi 6 iicbc's off of tho ground! <br />Stemo w/ChoIRng <br />Oiah <br />Sanitizer buckct- <br />blsach & water lor <br />storing wiping cloths <br />CWxor <br />Title <br />( Extra \ <br />I Water <br />10. <br />I Bleach <br />S^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 />SDetergent, bleach, and wiping cloths (cleaning towels). <br />[^jriib to store wiping cloths In bleach solution. <br />I Propano Took <br />________ <br />Ice Cooler <br />l^am^providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br /> Three compartment sink. <br />Names of responsible persons to be present in booth during all hours of operation: <br />/Tflvjlor ______ <br />**lmportant** <br />5-20 Gal. <br />r- Hand wash Water <br />I Soap dispenser \ <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 />this eventfi \ \ <br />^Signature <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />EHD 16-02 Pago 0 of 11 TEMP EVENT APP <br />07/01/2025 <br />SANJOAOUIN <br /> f ------COUNTY------ <br />Greotness grows here. <br />I am providing the following cold temperature control for the cotd holding of potentially hazardous foods below <br />45°F (if food is used the following day, maintain below 41°F temperature): <br />Ice chests Refrigerator <br /> Refrigerated truck IS} Ice bath and tubs <br /> Other-(specify) -fQ67I <br />CuWnn Board I <br />MU- ice, bine US