Laserfiche WebLink
Environmental Health Department <br />Date(s): <br />1. <br />2. <br />Address: <br />3. <br />4. <br />5. <br />meats, tamales, cooked beans, rice, <br />—7. - - Electricity is provided for my booth’s use: Yes S No <br />& ' U ............. ....... <br />9. <br />I Al________ <br /> Alternate: ( ) <br />■ ■ . <br />r rd : <br />NOte: Ip^ro"^ <br />6. - - Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods:. <br /> Approved bottled water. <br /> On-site hose bib that is connected to a potable water source. <br /> Other (specify):———p-. _______ 7”^ <br />ram'p^di^Tn”^aie FJbe thar™mete7 to measure the hot and cold holding of potential hazardous <br />■ Tam9proSg9 fo^e W Hoidlng W ail potentially Kffiardous foods above <br />135°F’ Camp stove Sterno & hotel trays <br /> Double steamer Q Steam table & lids <br /> Electric stove top 0‘her (specify) <br />Note: Examples of potentially hazardous food include: <br />vegetables, potato salad, eggs, and daily products. <br />1868 E Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | <br />EHD 16-02 Pago 7 of 11 <br />07/3/17 <br />SAN JOAQUIN <br />------COUNTY------- <br />Great nets tjiov/s here. <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 /> <br />1. Name of Event: <br />The following is information about my organization/business: <br />Name of organization/business: ——-------- <br />&.0Q <br />Phone: <br />List food to be sold or given to the public: _2_ <br />I am providing food that is NOT prepared at home: Yes ET4o <br /> <br /> <br />dust and the public) <br /> A booth with walls and celling constructed of either wood, « pMc. simlter <br />SasphaTcie"KSh Z a“ acceptable) and constructed to separate food and food preparation <br />areas from the public. <br /> Other (specify): .......................................——--------------- <br />only operations not required to provide enclosed booths