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SAN JOAQUIN Environmental Health Department COUNTY Greatnecs grows here TEMPORARY FOOD VENDOR'S APPLICATION All food vendors (both for profit and non-profit) are required to return a signed and completed copy of this checklist to the festival coordinator three (3) weeks prior to this event. 1. Name of Event: Manteca Punjabi Mela Date(s): 05/26/2024 The following is information about my organization/business: Name of organization/business: Dhaba Indian Cuisine Address: 2242 West Grant Line Rd Tracy (Restaraunt) Phone: ( 209 ) 609-0010 Alternate: ( 3. List food to be sold or given to the public: cu ltural punjabi food 4. I am providing food that is NOT prepared at home: E Yes D No All food is prepared on-site or is from approved commercial facilities: E Yes 111 No Name of facility: on-site Phone: ( Address of facility: on-site 5. I am providing a booth with the following: (to protect my unpackaged food and food-preparation areas from flies, dust and the public) E A booth with walls and ceiling constructed of either wood, canvas, plastic, similar material and fine mesh fly screening, completely enclosing open food areas. It will also have a smooth and cleanable floor (concrete, asphalt, clean tarps and smooth wood are acceptable) and constructed to separate food and food preparation areas from the public. El Other (specify): Note: The only operations not required to provide enclosed booths are those which sell beverages from approved dispensers, or prepackaged foods from approved sources. 6. Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods: E Approved bottled water. LII On-site hose bib that is connected to a potable water source. Other (specify): 7. Electricity is provided for my booth's use: D Yes IjI No 8. I am providing an accurate probe thermometer to measure the hot and cold holding of potentially hazardous foods during all times of booth operation: El Yes 111 No 9. I am providing the following hot temperature control for the hot holding of all potentially hazardous foods above 135°F: LIII Camp stove fl Sterno & hotel trays 111 Double steamer Steam table & lids LI Electric stove top El Other (specify) there will be no hot holding of food Note: Examples of potentially hazardous food include: meats, tamales, cooked beans, rice, vegetables, potato salad, eggs, and dairy products. 1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/ehd EHD 16-02 Page 7 of 11 TEMP EVENT APP 06/29/2023