Laserfiche WebLink
0 A ki I n A f71 I I AI r�. . : ,.. r,..,,.a 3 il..s.C�f� d"1�,.,<� ��iv+r+reF• <br /> J1-IIYti,.�UHI�UItY �.a�vre�rt�r-c�c:�ea.an: R ..:a..a. i VYpJMR.Se•iYiay <br /> COUNTY------ <br /> TEMPORARY FOOD VENDOR'S APPLICATION <br /> the festival coordinator three(3)weeks prior to this eveiitY r <br /> �. (.(Name of Event:... <br /> 2. The following is infiori-nation about my organizationlbusiness: <br /> ,rv5iuc Oi Cry'ai-iiZauui,�tfSm2$S; _. � j' � s} �?. <br /> Address: -�� <br /> Phone ( r } 4heritafo:( ) <br /> 3- List fo to be sold or given to the public:,, ArT/a <br /> i� <br /> od f�JYYLIIu. (� ?, _ .iv1 <br /> 4. tam Prov;dtng food that is NOT prepared at Noma_N'les El No <br /> All food is Prepared o site or is fro approvad cornmeroial facilities.,. Yes❑No <br /> Name of facirty DL11 t}_ 1 t5h'one:f, <br /> Address of facirity_ <br /> 5. lam providing a booth with the following:(to protect my unpackaged food andfcrod preparattan ax is frartt flies, <br /> dust and the public) , <br /> ❑A booth with walls and ceiling constructed of either wood,ca rnr3s•piasdiic,similar tnHterai arld fine rnesh.fty <br /> stisee:rin9, ca npteteiy enclosing opset}food areas It w4;also have a srnoual ,x deanabo <br /> asphalt,clean tarps and smooth wood are acceptable}and.constructed to separate food arsd xidirr�¢iara u „ <br /> areas from the public. ,jt r } <br /> other(speci-,yy fUx 1 — <br /> i <br /> Note: The only operations not required to pro de enclosed iaaoths are those wtiiclt se;i hEverayF.s <br /> appfoveddispemers•ofp44-p,w-kagedfoodsfromapprovedsswrces, <br /> 6_ Approved water for drinking,utensil and hand waWng will be provided in my hooth'tiy the foik;wvmg;rietixu3s .; J'F "k" ?" <br /> ❑Approved twitted water. - <br /> F�On-site hose bib that is connected to an potablewater source. P <br /> Other(specify): - ll �)Yr � <br /> 7. FJJ Cify is provided for my booth's use:❑Yes 1Vo <br /> 8, 1 am providing an accurate probe thermometer to mews the hat and cold fio4ding of potentially hazardous <br /> foods during all tunes of booth operation:❑yes No J-"JAI <br /> 9, f am providing the following hot temperature control for the hot.holdmg of all potenilally hazardous foods abcve <br /> 135'F: <br /> rJ camp stove Stemo 8,hate!trays <br /> ❑Double steamier ❑Steam table&lids <br /> Electric stove top Other(specify) <br /> Note: F�camples o en1a11y ITaZatd°Us T6binclu ' meats, tamales, cooked Means, r+ce, <br /> velletables, potato salad,eggs,and dairy products. <br /> 68-3�20 l >~ <br /> � $ E. Hazeltori Avenue Stockton,California 952050 T�209 4 zoss�o�a8 1 wuw.si Yu� T � <br />