Laserfiche WebLink
Environmental Health Department <br />Date(s): 9-41. <br />2. <br />3. <br />4. <br />5. <br />1 <br />6. <br />9. <br />meats, tamales, cooked beans, rice, <br />7. <br />8. <br />, a i California 95205 I T 209 468-34201 F 209 464-0138 | www.sjcehd.com1868 E. Hazelton Avenue | Stockton, California I „ 1 TEMP EVENI A,,P <br />EHD 16-02 <br />07/3/17 <br />^(ol <br />ft® <br /> Other (specify):. -------------------------------------------------------------------------- <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 following methods: <br />Approved bottled water. <br /> On-site hose bib that is connected to a potable water source. <br /> Other (specify):--------------------------- . . -------------------------------------------------------——-------- <br />Electricity is provided for my booths use: Yes LJ 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: 0 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 /> Camp stove Sterno & hotel trays <br /> Double steamer D Steam table & lids <br /> Electric stove top Other (specify) <br />Note: Examples of potentially hazardous food include: <br />vegetables, potato salad, eggs, and dairy products. <br />SANJOAQUIN <br />. COUNTY----- <br />^reolncss f/imvs <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 />1. Name of Event: A4 (K O <br />The following is information about my organization/business: <br />Name of organization/business: OlL-Cy f)Q Dl) Y1UA S' <br />Address: blcux-fine r)nUrUM-f ca <br />Phone: (^0^) I Alternate: ( 2J <br />List food to be sold or given to the public: \Y\ \ <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: ^.Yes No <br />Name of facility:Phone: ( ) <br />Address of facility: <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 />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.