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I <br />Environmental Health Department <br />1. Name of Event: cinco de mayo1. <br />The following is information about my organization/business:2. <br />auntys dhabaName of organization/business: <br />110 n eldorado st, stockton, ca 95202Address: <br />4172082 Alternate: ( 350 ) 2272255Phone: <br />3. <br />4. <br />5. <br />6.Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods: <br />[3 Approved bottled water. <br />0 On-site hose bib that is connected to a potable water source. <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 />7. <br />8. <br />9. <br />Q Sterno & hotel trays Steam table & lids <br /> Other (specify) <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: meats, tamales, cooked beans, rice, <br />vegetables, potato salad, eggs, and dairy products. <br />Date(s): 05/2/2026 <br />List food to be sold or given to the public: Samosas, Mango Lass^ Nachos,Reggie burgers, fried food. cur(^^^ <br />[3 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 />q Other (specify): <br /> Other (specify): <br />Electricity is provided for my booth's use:£] Yes 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:^ Yes I I No <br />I am providing the following hot temperature controTTor the hot holding of all potentially hazardous foods above <br />135°F: <br />[3 Camp st ove <br /> Double steamer <br /> Electric stove top <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 of 11 TEMP EVENT APP <br />07/01/2024 <br />I am providing food that is NOT prepared at homeC Yes E3 No <br />All food is prepared on-site or is from approved commercial facilities: [3 Yes No <br />Name of facility: community kitchen Stockton Phone: ( 2Q9) 949 2104 <br />Address of facility: 110 n el dorado st, stockton, ca 95202 <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 />(209 j