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Environmental Health Department <br />10. <br />11. <br />OR <br />12. <br /> Paper towels and pump-style soap container. <br />13. <br />“Important' <br />Completed by: 14. <br />Signature <br />Health Permit <br />Paper Hand Towels <br />Soap dispenser <br />Cutting Soard <br />SlouchPropane Stove <br />I <br />Propane Tank <br />Fire Exdnaulohor <br />Ice Cooler <br />f <br />Soap and Wntor <br />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 />I am providing the following items within my booth for the sanitary cleaning of food preparation utensil <br />Three compartment sink. <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />Extra Ico flags i Foocl Conluiriura must bo <br />storod fl Inchos o/l ol llm grotindl <br />S Gul Hand wash <br />Waslowator Conlainor <br />Garbage <br />Can <br />Booth must be on <br />Concrete. Asphalt, <br />Plywood, or a Tarp. <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 />Names of responsible persons to be present in booth during all hours of operation: <br />7^/s/ 4/^/ _ ___________________________________ <br />Sterno w/Chatt>r>g <br />Dish <br />Extra <br />Water <br />5-20 Gal. <br />Hand wash Water <br />Sanitizer bucker- <br />bleach & water lot <br />stoong wiping cloths <br />z. <br />Bleach und Water | <br />Title <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 event. <br /> <br />Date <br />. lT . ITZ „ M. MO J <br />Rinse Waler <br />1868 E. Hazelton Avenue | Stockton, California 95205 j T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />EHD 16-02 Pago 8 ot 11 TEMP EVENT APP <br />07/01/2024 <br />SANJOAOUIN <br />------COUNTY------- <br />s>'’ Z — • <br />Y.,,O-Y Greatness grows 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 41 °F temperature): <br />Ice chests Refrigerator <br /> Refrigerated truck Ice bath and tubs <br />0 Other (specify)