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Environmental Health Department <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />required to return a signed and completed copy of this checklist to <br />1.1. Name Of Event: Manteca Watermelon Street Fair Date(s): June 7-8, 2025 <br />2. <br />Name of organization/business: <br />Address:2677 Melissa Way Manteca CA 95337 <br />Phone: <br />3. <br />4. <br />5. <br /> Other (specify): <br />6. <br />O On-site hose bib that is connected to a potable water source. <br />9. <br />meats, tamales, cooked beans, rice, <br />Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods: <br />0 Approved bottled water. <br /> Stemo & hotel trays <br />0 Steam table & lids <br />0 Other (specify) <br />7. <br />8. <br />The following is information about my organization/business: <br />Miss Dulcelicious <br />SANJOAOUIN <br />COUNTY <br />0 Other (specify): 5 gallon of water with spigot, water, soap, paper towel, <br />Electricity is provided for my booth’s use: 0 Yes 0 No <br />I am providing an accurate probe thermometer to measure the hot and cold holding of potentially hazardous <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420) F 209 464-0138 | www.sjgov.org/ehd <br />EHD 16-02 Page 7 of 11 TEMP EVENT APP <br />07/01/2024 <br />Note: Examples of potentially hazardous food include: <br />vegetables, potato salad, eggs, and dairy products. <br />foods during all times of booth operation: 0 Yes 0 No <br />I am providing the following hot temperature control for the hot holding of all potentially hazardous foods above <br />135°F: <br />0 Camp stove <br />0 Double steamer <br />0 Electric stove top <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 />I am providing food that is NOT prepared at home: 0 Yes 0 No <br />All food is prepared on-site or is from approved commercial facilities: 0 Yes 0 No <br />Name Of facility: Stockton Community Kitchen Phone: (209 ) 683-9422 <br />Address of facility: no N El Dorado St 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 />( 510 ) .676-8979 Alternate: ( 510 ) 676-8979 <br />List food to be sold or given to the oublic- skGwers/l-umpia/Chow Mein/Mac Salad/Rice/Pineapple & Melon juice/ <br />r ' -Korean DDW/soda/bottle water----------------------------------------------------------- <br />All food vendors (both for profit and non-profit) are i <br />the festival coordinator three (3) weeks prior to this event. <br />0 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.