Laserfiche WebLink
Environmental Health Department <br />• ■ <br />10 <br />11 <br />OR <br />12 <br />separate tub (bucket or basin) for the collection of nnseAwastewater <br />••Important** <br />14. <br />Health Permit <br />! <br />htMM <br />Seat ttapefWM <br />3Sum <br />f <br />I Swf tna Ww ara> tVaaa <br />F 209 464-0135 <br />[FV U- <br />____ <br />Sterne w€*afltng <br />Deh <br />«tar<j ««an <br />Booth n>u*l bn ryi <br />Cuncrttle A»pfi«kl1 <br />Plywood or a I orp <br />£nr» O 4 ’ ooj Co^*zw> *»ju d* <br />twnc 8 c* .v n» g^nf <br />Garbage <br />Can <br />4 &» -*-c «ns <br />.VMirww r »-r>r*< <br />wwvy sigev org/ehd <br />TFUPF JFhT AFT <br />■Jten ’J-v’ bucBai <br />Macr i«tev«o <br />Mpng cxrtrw <br />1 RwWtet <br />I______ ___ <br />Leva <br />.‘.Ate* <br />\L <br />\ <br />L <br />SANJOAOUIN <br />COUN T V <br />(11 <• j t <> r 11 , <br />I am providing the following cold temperature control for the cold holding of potentially hazardous foods below <br />4^’F (tf food is used lhe following day, maintain below 41T temperature) <br />O'Ice chests Refrigerator <br /> Refrigerated truck ice bath and tubs <br />[“I Other (specify)_ <br />Ice Cooler <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 />“ <br /> <br />Title Date <br />□^ree^111^ rtems f^Y booth for lhe sanitary cleaning of food preparation utensil <br />S^Three deep tubs (basins 6-8 inches minimum), one for soapy water one for rinsing and one tor a bleach <br />sototfon (one tablespoon of bleach per gallon of water) <br />M Detergent, bleach, and wiping cloths (cleaning towels) <br />IZJ Tub to store wiping cloths in bleach solution. <br />1868 E Hazelton Avenue I Stockton. California 95205 I T 209 468 3420 <br />EHDt«02 <br />WI»I9 <br />13 ^_^g^6s^r^(^risib^><Ks^sto be ^res^t in booth dunng all hours of operabon <br />lam providing the following for adequate hand washing facilities, but separate from utensil wash within my <br />DOOU1. <br />Efwater supply dispenser with warm water al a minimum of 100*F (l.e 5-20 gallon container with spigoi) <br />rfone <br />B Paper towels and pump-style soap container <br />I CcthnQ 6o*r-J <br />Completed by <br />Signature