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Environmental Health Department <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />1. Date(s): June 7 & 8, 2025 <br />2. <br />( 209-^93-2461Phone: <br />3. <br />4. <br />5. <br />enclosed trailer <br />6. <br />9. <br />meats, tamales, cooked beans, rice, <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 I www.siqov.orq/ehd <br />Page 7 of 11 TEMP EVenT AlTEMP EVENT APP07/01/2024 <br />0 ^0 ( <br />7. <br />8. <br />SAN JOAQUIN <br />-COUNTY- <br />Alternate: (209-8p0-8079 <br />List food to be sold or given to the public: Soft Serve Ice Cream in cones or cups with or without toppings <br />are those which sell beverages from <br />The following is information about my organization/business: <br />Name of organization/business: YaYa's Investments LLC dba Cruising Cones 6 <br />Address: 11222 Loduca Dr., Manteca, CA 95336 <br /> On-site hose bib that is connected to a potable water source. <br />3 Other (specify): commissary <br />Electricity is provided for my booth's use: Yes [x] 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: 3 Yes No <br />I am providing the following hot temperature control for the hot holding of all potentially hazardous foods above <br />135°F: <br />O Camp stove 0 Stemo & hotel trays <br /> Double steamer Steam table & lids <br /> Electric stove top 3 Other (specify) dip warmer <br />Note: Examples of potentially hazardous food include: <br />vegetables, potato salad, eggs, and dairy products. <br />i.'lfaeF V®ndors,(b°th 1j?r 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 />I .Name of Event: _Watermelon Street Fair <br />Note: The only operations not required to provide enclosed booths <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 /> Approved bottled water. <br />I am providing food that is NOT prepared at home: H Yes No <br />All food is prepared on-site or is from approved commercial facilities: Yes No <br />Name of facility: prepared on-site Phone- ( ) <br />Address of facility: <br />1 ^s^and the public)1 f°ll0Win9: (t° prOteCt my unPackaged food and food-preparation areas from flies, <br /> 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 />area ^fromt^ie^ubhc30^ Sm0°th W0°d are accePtable) and constructed to separate food and food preparation <br />H Other (specify):