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SAN JOAQUIN <br />10 <br />11. <br />OR <br />12. <br />13. <br />••Important" <br />Completed by:14. <br />Health Permit <br />ProomeTank <br />Ice Cooler <br />Md d Mat otlot grwndf <br />1868 E, Hazelton Avenue | Stockton, California 95205^1 <br />Booth must be < <br />Concrete, Asph <br />Plywood, or a T <br />BO1M2 <br />OH VW <br />T 209 468-3420 | F <br />Page 8 ol 11 <br />S20 Ga* <br />Hand wash Water <br />I? <br />Santtzet bucket­ <br />bleach & vwter for <br />storing wiping cloths <br />5/4/23 <br />Date <br />J <br />Environmental Health Department i' <br />It I <br />''^■1 <br />W.t! fe <br />209 464-0138 \ ww si^p0^ <br />for soapy water, one <br />All food vendor booths are subjeci tomusTb^in theVooth a/aU hours of <br />^SionlXX original to festive! coordinate* weeks pnorto <br />th/event, y Owner <br /> lco_chesls Q ice bath and tubs <br />£31?ehX)eraied truck I—1 <br />' Other (specify)---------------------------------- - . <br />(TyThree compartment sink. <br />....—— <br /> one separate tub (bucket or basin) forthe coiledlon of rinse/wastewater. <br /> Paper towels and pump-style soap container. <br />Names of responsible persons to be present in booth during all hours ol operation: <br />Fred Parse______________________________ 2________________ <br />41'F temperature) <br />(or rinsing and one tor a bleach <br />Soap dspcnset <br />Cutting Board <br />Rime Water <br />5 Gal Hand wash <br />Wastewater Container <br />Stem© wfChvffing <br />Doh