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SAN JOAQUIN coUNT, <br />Environmental Health Department <br />TEMPORARY FOOD VENDOR'S APPLICATION <br />All food vendors (both for profit and non-profit) are required to return a signed and completed copy of this checklist to <br />the festival coordinator three (3) weeks prior to this event. <br />1. Name of Event: 209BEATDOWN Date(s): September 28, 2024 <br /> <br />The following is information about my organization/business: <br />Name of organization/business: The Salvation Army <br /> <br />Address: 1305 E Weber Ave Stockton Ca 95205 <br />Phone: ( C)9518-5098 Alternate: ( <br />List food to be sold or given to the public: HOT DOG, POLISH DOG, NACHOS, CHILLI <br />I am providing food that is NOT prepared at home: LII Yes 'Xi No <br />All food is prepared on-site or is from approved commercial facilities: [81 Yes Ill No <br />Name of facility: STOCKTON CIVIC AUDITORIUM Phone: ( ) <br />Address of facility: 525 N. CENTER STREE/STOCKTON CA 95202 <br />I am providing a booth with the following: (to protect my unpackaged food and food-preparation areas from flies, <br />dust and the public) <br />El A booth with walls and ceiling constructed of either wood, canvas, plastic, similar material and fine mesh fly <br />screening, completely enclosing open food areas. It will also have a smooth and cleanable floor (concrete, <br />asphalt, clean tarps and smooth wood are acceptable) and constructed to separate food and food preparation <br />areas from the public. <br />'Other (specify): FACILITY KITCHEN AREA <br />Note: The only operations not required to provide enclosed booths are those which sell beverages from <br />approved dispensers, or prepackaged foods from approved sources. <br />Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods: <br />El Approved bottled water. <br />111 On-site hose bib that is connected to a potable water source. <br />'Other (specify): FACILITY KITCHEN AREA AND CONCESSION BOOTHS <br />Electricity is provided for my booth's use: [8:1 Yes El No <br />I am providing an accurate probe thermometer to measure the hot and cold holding of potentially hazardous <br />foods during all times of booth operation: XI Yes 111 No <br />I am providing the following hot temperature control for the hot holding of all potentially hazardous foods above <br />135°F: <br />LI Camp stove NI Stern° & hotel trays <br />111 Double steamer Egl. Steam table & lids <br />El Electric stove top El Other (specify) <br />Note: Examples of potentially hazardous food include: meats, tamales, cooked beans, rice, <br />vegetables, potato salad, eggs, and dairy products. <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjcehd.com <br />EHD 16-02 Page 7 of 11 TEMP EVENT APP <br />07/3/17