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Environmental Ffeaith Department <br />1. <br />_ ??Ete(s): <br />2. <br />- '•4u . C. <br />Aiicfc£tj >■.j. <br />H.’G'ltf.K <br />3. <br />4. <br />F, <br />k <br />6.Ac, ' ■ .x.--, <br />r V. SLiUrDa. <br />a <br />hoscei ^rays <br />ft •...:-Ji •:.•.•moats, tamales, <3®©ked Bseens, riae. <br />Pd3& 7 c- r;TEMP EVENT APP <br />o..... ? SF205 209 468-3420 | F 209464-0138 | www.sjgov.org/ehd <br />Page ? o’ H TEMP “'“T <br />S-, <br />i>. ! J <.d <br />■.it -h; <br />1SS8 £- <br />E.D 16-C <br />(KW/ZGP <br />7. <br />8. <br />*; ^iirddus food delude: <br />. salad c.:i rct&U;^..uete. <br />-----u. <br />lE^r <br />f <br />I- <br />r <br />r - stem <br />> ■ ■ Steerh tebh &. iffe <br />' -i ■' u-.e.c a ptepsred j. hoiiie: H /as fl No <br />’’.......... - ^■',i• ■ - -’p oi1 Hi 'iB/.i approved oornrnerolalfacilities: 2?Yes Mo <br /> Phong. (Zo 1) 4- <7^07- <br />su ,rt±_______ <br />" ‘ proteoi.i.y^padcaged food and food-preparation areas from files, <br />.. J ... ,c <br />— 'COUNTY----- I <br />Grffct-'r«.« lf, <br />Fboo VENDOR’S APPLICATOR <br /> <br />■: rtixiu. 353j inyorsintzatlon/fausiness: <br />-■’ — ... — — |^S* <br />=2 -• ^ j 5± <br />-'. <br />.-£,>g>r^<z jr; <br />Alternate: ( Zc?^ ) <?6 <br />■- - -i Si2 I 'l •>■<?;■- ■<■. <br />L . .. <br />E <br />isr. z <br />’ ■■ :r i ■ '.' <br />r' •■ ■).- .-■'- ■■.■ <br />- • • ■ .. <br /><SLU.£J1 ici., <br />L. <br />• ..L/£.d2t <br />..; .. • •. e. -i of wood, oanvss tfaatic, similar rjetaria! and fine mosh fly <br />;.?jiLSincj inai aresas. si ^iii also nave a smooth and Disenable floor (concrete, <br />.. •.?•;•.7.- . a*?.- septet!r-r.d consfeuctsd to sep&ate food and food preparation <br />fy/VMill&et STC- <br />:.Cd;b ro^J.oL j ^iUvid© enclosed boouis are fitosa jtfiik/h sail bevaragee from <br />cr , ... 3u 4Spproved80u»xjBS. <br />a- .,1 ten.:;! '.-id hand washing will he provided In my booth by the following methods: <br />•: . We’ic-L <br />. C:' ' <br />U*'K <br /> <br />................ • Ye <br />! ;.!. fc Tieeeure the hot and cold holding of potentially hazardous <br />. -.-•? -..r^cr-'fb op? ■afion: ‘ 1 Yas O Me <br />-i' :_ <- 3u.lx;. :e. ti .e aci; holding of all potentially hazardous foods above