Laserfiche WebLink
Environmental Health Department <br />for rinsing and one for a bleach <br />12. <br />13. <br />‘‘Important** <br />14.Completed by: <br />Signature <br />Health Permit <br />Paper Hand Towels <br />Cutting Board 1Propane Stove Bleach <br />PropanoTentr <br />Soap and Waler Bleach and Water <br />Hre Extinguisher <br />""1 <br />i <br />Stamo w/Chafflng <br />Dish <br />| www.sjcehd.com <br />TEMP EVENT APP <br />Garbage <br />Can <br />Sariitizer bucket­ <br />bleach 4 water for <br />storing wiping cloths <br />6 Gal Hand wash <br />Wastewater Container <br />Booth must be on <br />Concrete, Asphalt, <br />Plywood, or a Tarp. <br />Rinse Water <br />( Extra \ <br />Waler <br />Return original to festival coordinator three <br /> Owner <br />Title <br /> Ga?ZPaeSen' b°Olh during a"hours of <br />i J.. 1 •- L k <br />iBL <br />11. lam providing the following itei <br /> Three compartment sink <br />OR <br />Ice Cooler <br />IF <br />subject to inspection. Please make <br />EnandJeration- <br />Date <br />I 6-20 Gal. <br />V- Hand wash Water <br />Soap dispenser I \ <br />SANJOAQUIN <br />—COUNTY— <br />'.'Onar^-' t’len/ncss ^rows Acre, <br />“d ^sedZfolloX^ P°ten,ia,|y ha2ardotls foods below <br />X,ce chests Refrigerator <br /> Refrigerated truck Q |ce bath ancJ tubs <br /> Other (specify)_ <br />Water supply dispenser with warm water at a minimum of 100T (i.e. 5-20 gallon container with spigot). <br />Xone separate tub (bucket or basin) for the collection of rinse/wastewater. <br />X PaPer ,owe,s and pump-style soap container. <br />iW» <br />10. <br />Extra tco Bags i Food Containers must be IS <br />stocod 6 inches oft o( the gtound! ! i <br />EHD Ha2elton Avenue 1 sto^on. California 952051 T 209 468-34201 F 209 464-0138 <br />07/3/17 Pago 8 of 11 <br />u <br />□ Three compartmenTsink.'^3 Wi'hin my b°°th f°r 'he Sanilary cleani"9 °f P^raBon utensil <br />for soapy wa,er’ °ne <br />U Detergent, bleach, and wiping cloths (cleaning towels) <br />IJ Tub to store wiping cloths in bleach solution. <br />I am providing the following for adequate hand washing facilities, but separate from utensi| wash my