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Environmental Health Department <br />February 28. 2026Celebration of Gospel 2026 Date(s):1.1. Name of Event: <br />2.The following is information about my organization/business: <br />Sweets Von Shel'le Homemade Cake and DessertsName of organization/business: <br />3258 Sacramento Drive. Merced. CA 95348Address: <br />3. <br />4. <br />N/A <br />5. <br />6. <br /> Approved bottled water. <br /> On-site hose bib that is connected to a potable water source, n/a <br />9. <br />meats, tamales, cooked beans, rice, <br />7. <br />8. <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. <br />[3 Other (specify): 1 sel1 prepackaged baked goods <br />Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods: <br />n/a <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 />n/a <br />n/a <br />■ n/a <br /> Stemo & hotel trays <br /> Steam table & lids <br /> Other (specify) <br />n/a <br />n/a <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 ol 11 TEMP EVENT APP <br />06/19/19 <br />135°F: <br /> Camp stove 1 <br /> Double steamer <br />O Electric stove top <br />SAN JOAQUIN <br />------COUNTY------ <br />Greatness grows here. <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 />Note: Examples of potentially hazardous food include: <br />vegetables, potato salad, eggs, and dairy products. <br />Phone: (209 > 756-1935 Alternate:^09 >756-5898 <br />I make and sell homemade miniature cakes, take-in-lhe-jar. push-up cake pops, jumbo cupcakes (including sugar and gluten-free options), muffins, mini pies, mini <br />loaves of bread, cinnamon rolls, large-size cookies, stuffed cookies, mini cobblers, assorted flavored brownies, candied and caramel apples, flavored popcorn, dipped <br />List food to be sold or given to the public: pre'zels. a variet> of candies, and many other incredible desserts <br />I am providing food that is NOT prepared at home: Yes E^No <br />All food is prepared on-site or is from approved commercial facilities: Yes No <br />Name of facility: N/A Phone: ([ <br />N/AAddress 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 /> Other (specify): 11/3 <br />Electricity is provided for my booth’s use: Yes 0 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: Q Yes 0 No <br />I am providing the following hot temperature control for the hot holding of all potentially hazardous foods above <br />n/a