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file.7//C:/lJsers/Joe/DownIoads/SJC-HealthDept-3.pdf <br />Environmental Health Department <br />10. <br />11. <br />OR <br />12. <br />within my <br />13. <br />"Important** <br />14.Completed by: <br />Health Permit <br />Paper Hana Towels <br />Cutting Basra <br />Propane Stove <br />Propane Tank <br />Fire Extinguisher <br />8 of 11 <br /> 5/6/2026, 12:55 PM <br />5 G«l Hand wash <br />Waiiewator Container <br />Garbage <br />Can <br />Saniazer Bucket- <br />btaacn j water tor <br />stonng taping cloths <br />Stemo MkChalTng <br />Dish <br />Booth must be on <br />Concrete. Asphalt <br />Plywood, or a Tarp. <br />SAN JOAQUIN <br />COUNTY- - <br />| Ice Cooler <br />Bleach <br />iring all hours of operation: »ve-Q. <br />Extra fee Beg’ « Food Conttmfi must Be <br />storM 8 inches oltot the gmund' <br />Title <br />J Soap aiipenser j <br />__L <br />Soap and Water <br />5*20 Gal <br />Hand vMtah Waler <br />□ Th^SpXtnuS "emS Wi“,in my b0°,h 'he SaniBry Cleani"3 ,00d PrePa'a"OT <br />loons Mow <br />^Ice chests Q Refrigerator <br /> Refrigerated truck Ice bath and tubs <br /> Other (specify) <br />o?bleXe“ofUXne S03Py Wa,er' °ne tor rinsin9 and °ne ter a bleach <br />•cSOetergent, bleach, and wiping cloths (cleaning towels) <br />J^CTub to store wiping cloths in bleach solution. <br />Names of responsible persons to be present in .booth durim <br /> <br />preparation and operation. Return original to festival coordinator three weeks prior to <br />Signature (J Tihe---------------cfc <br />’H868E.H“e'>on Avenue | Stockton. California 95205 I T 209 468-3420 1 F 209 464-0138 I www.sjgov.org/ehd <br />07/01/2024 PaoeBoMI TEMP EVENT APP <br />I am^pro^dmg the following for adequate hand washing facilities, but separate from utensil wash <br />^Vater supply dispenser with warm water at a minimum of 100’F (i.e. 5-20 gallon container with spigot). <br />^£t)ne separate tub (bucket or basin) for the collection of rinse/wastewater. <br />^SyPaper towels and pump-style soap container. <br />3C7_i _ <br />| Rmw Water j j Bleach and Waler I <br />TEMPORARY EVENT APPLICATION - SJC-HeaithDept-3.pdf