COMPLIANCE INFO_2026 - Laserfiche WebLink

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Environmental Health Department May 2-3, 2026 Date(s): I.Name of Event:1. 2. Address: 310-929-7100Phone:() 3.List food to be sold or given to the public: 4. 5. Other (specify): 6.Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods: □^Approved bottled water. On-site hose bib that is connected to a potable water source. 9. meats, tamales, cooked beans, rice, 1ARRF Haypltnn A\/ahi ic> I .^tnrktnn C.alifnmia QR90R I T 20Q 4AR-942n I F 200 dAzi-DI I xuww cinnv r>rn/phrl 7. 8. The following is information about my organization/business: El Don Cocina & Cotina QA booth with walls and ceiling constructed of either wood, canvas, plastic, similar material and fine mesh fly screening, completely enclosing open food areas. It will also have a smooth and cleanable floor (concrete, asphalt, clean tarps and smooth wood are acceptable) and constructed to separate food and food preparation areas from the public. Note: The only operations not required to provide enclosed booths are those which sell beverages from approved dispensers, or prepackaged foods from approved sources. Stemo & hotel trays Steam table & lids Other (specify) Name of organization/business: 16925 S Harlan Rd Ste 101 Lathrop, CA 95330 _____________ Alternate: ( ) Chicken and Beef Tacos and Nachos SANJOAQUIN ------COUNTY------- Greatness grows here. TEMPORARY FOOD VENDOR’S APPLICATION I am providing food that is NOT prepared at home: Q Yes No All food is prepared on-site or is from approved commercial facilities: Q Yes No Name of facility:Phone: ( ) Address of facility: I am providing a booth with the following: (to protect my unpackaged food and food-preparation areas from flies, dust and the public) Note: Examples of potentially hazardous food include: vegetables, potato salad, eggs, and dairy products. All food vendors (both for profit and non-profit) are required to return a signed and completed copy of this checklist to the festival coordinator three (3) weeks prior to this event. Cinco de Mao Fiesta Other (specify): Electricity is provided for my booth's use: Yes No I am providing an accurate probe thermometer to measure the hot and cold holding of potentially hazardous foods during all times of booth operation: Yes No I am providing the following hot temperature control for the hot holding of all potentially hazardous foods above 135°F: Camp stove Q Double steamer [3Electric stove top