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Environmental Health Department <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />All food vendors (both for profit and non-profit) <br />1 Name of Event: Manteca Watermelon Festival Date(s): June 7th/8th <br />2. <br />Phone: <br />3. <br />4. <br />5. <br /> Other (specify): <br />6. <br />9. <br />meats, tamales, cooked beans, rice, <br />7. <br />8. <br />SANJOAOUIN <br />G O Li N T V <br />E^Tes □ No <br />_ Phone: ( 916 )498-9787 <br />chicken pieces, or mpc and cheese and <br />se^and toppingly <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 />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />07/01/2024 Pa9e 7 °f 11 TEMP E^ENT APP <br />The following is information about my organization/business: <br />Name of organization/business: Bubble Hive <br />Address: 7204 Elvora Way, Elk Grove, CA 95757 <br />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):J <br />Electricity is provided for my booth’s use: [VYes 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: H Yes No <br />I am providing the following hot temperature control for the hot holding of all potentially hazardous foods above <br /> Camp stove Stemo & hotel trays <br /> Double steamer Eteam table & lids <br /> Electric stove top Other (specify) Warmer <br />Note: Examples of potentially hazardous food include: <br />vegetables, potato salad, eggs, and dairy products. <br />( 510 ) .932-9707----------------------------- Alternated 916) 70,6-4,900 <br />List food to be sold or given to the public: Bubble Puff Waffles served with either Icecrea^ <br />/ topped with assorted saGl <br />I am providing food that is NOT prepared at home: Yes No <br />All food is prepared on-site or is from approved commercial facilities: <br />Name of facility: Valet Indoor Storage <br />Address of facility: 11QQ Richards Blvd, Sacramento, CA 95811 ____________ <br />1 ^sTand the3 thG follOW'n9' ^t0 protect my unPackaged food and food-preparation areas from flies, <br />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. <br />the festival coordinator three (3) weeks pto to th” event^ t0 3 Si9"ed C°mPle,ed C°Py °f thiS CheCkliSt t0 <br />1.