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4/3(Jr25, 9:49 AM Mail - crystal@manteca.org - Outlook <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />9. <br />vtgatabiM, potato Mtocf, jmd dairy praducta. <br />M <br />https://outlook.offlce.com/mail/id/AQQkAGM4YzkwMAItMmZkNv1IODUvLTAwAiOwMAoAFAA.lnCilQI zMIFI l4Rii7PKn/QvO/anMVAnM,iv-7i™,MauMrn7 i/i <br />X <br />•fi <br />7, <br />8. <br />)__________ <br />x<\VbS«Av <br /> Camp stove Stamo & hotel trays <br />■0Double steamer J&Steern table & lids <br />O Electric stove top Other (specify) <br />Note: Examptea of potentially haxardoua food include: <br />mess; <br />_£/. Trf ___________ <br />ZXtr-S <br />- r c* t. t»a»LM. *1^ .* /■ * <br />— .ir-. U r--.,'.^:5Wi5up <br />Environmental Health Department <br />....... ..... ■ ' ■ - . "/.C / " - ■/ <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />Iho fostivall° ™1Um ° 5ifl™d conlP|w»<1 «W o< Ms ctxcW 10 <br />1 Name 01 vGtr o.m <br />The following is inlormaton about my organizatiorVbosi, <br />Name of organizatton/business: j r4 <br />Across: ^57 QXV (Xj^ V)f , <br />P1™e: AHemsisU <br />List food to be sow or slveo to the public ft , <br />. - <br />All food is prepared on-site or is from approved commercial facilities: 0 Yes No <br />Name of facility: Zzx iQfhLfanq _ Phone: : <br />Address of facility^, 12.11 <S ~7 ^ M l ' ,' t <br />a^the^Sf ’h ,he fi,towins: (to P™’601 m* ^packaged food and food-preparation areas from ftee. , <br /> A booth with walls and ceiling constructed of either wood, canvas, plastic, similar material and fine mesh fiv <br />®nclos,n9 open ,ood areas- « will also have a smooth and cfeanaUe ftoor (conJjw <br />pu^ic afe acceptoble> and instructed to separate food and food preparation <br />KlOther (speedy); Ay~cvv\^Y_________ _________ _______________ <br />' —*-"",.............. >'■' u i 'i '«■;?. <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 />Approved water for drinking, utensil and hand washing will be provided in my booth by the foftowing methods: <br /> Approved bottled water. <br /> On-site hose bib that ts connected to a potable water source. <br />Q Other (specify): \ci./\V^. S <br />Electricity is provided lor my booths use: ©-Yes O No , . t <br />' ST'8 b* ■"d “W rt , <br />hot temperature control for the hot hnlrfirwi ni ek fWwnWniiv «>>w44a ; •SWOB <br />. ■ <br />^^^•eootad<b^* <br />■■ <br />—: <br />>.... ■. <br />uatuf fee <br />r- o w —— I—L—4 • .>1 ' '> C,-i’»5 ,f <br />’ ^P^dng the following hot temperature control tor the hot holding ol all potentially hazarrtoiM toote above <br />; <br />.... <br />A''*0U0 1 SWWOn‘ C3",OmM* T K».4ee.3«Qi1f ^^0136it www <br />w3W . . J /' ‘r ‘ r ;_______