Laserfiche WebLink
Environmental Health Department <br />10. <br />11. <br />OR <br />12. <br /> Water supply dispenser with warm water at a minimum of 100'F (i.e. 5-20 gallon container with spigot). <br />Q One separate tub (bucket or basin) for tire colteclion of rinse/wastewater <br /> Paper towels and pumcHttyte soap contair>er. <br />13. <br />“Important** <br />Completed by:14. <br />bate <br />Health Permrt <br />I am providing the following cold temperature control for the coW holding of potentially hazardous foods below <br />45"F (if food is used the following day, maintain below 41’F temperature) <br />^8-ice chests Refrigerator <br />Fl Refrigerated truck Ice bath and tubs <br /> Other (specify)_____________ <br />i am providing the following items within my booth for the sanitery cleaning of food preparation utensil <br /> Three compartment sink. <br />Garbuge <br />Can <br />I am providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />booth: <br />■WWW <br />Al vwcHf ’*>! <br />•tor*M» WWMJi COWte <br />SJ-4WW w Cturfl'ny <br />Wart* <br />SAN JOAQUIN <br />COUNT* *■ <br />I £ 9119 itoe CG*Sf*n»rg tT-Vtf 6W <br />I fl ffKitMt* ttfT sit f*9 <br />1868 E Hazelton Avenue | Stockton California 9S2051 T 209 468-3420 | F 209 464-0138 ( www.sjgov.orgiehd <br />6H0 IMS? Ra^ « oT 11 TtiMP FVSNT APP <br />owrito® <br />tr^ 1'' <br />TitleSignature <br /> Three deep tubs (basins 6-8 inches minimum), one for soapy water, one tor rinsing and one tor 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 />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 foe booth at all hours of <br />preparnttop^nd operation. Return original to festival coordinator three weeks prior to <br />this <br />C^\. ________r'___________L/"7/- 7? “Z <br />Z~"“ <br />Ice Cooler <br />t---------------------- <br />Bmiti rmret be on <br />Corwutn. Asphalt. <br />Plywtxxl, o< a Tarp <br />1----------------------/ <br />Nnmes^^ponwln persons^^bf^pr^ent^n booth^tunng all hours of operation <br />F'*» tsSWtiWW