Laserfiche WebLink
1. <br />2. <br />Address: <br />Phone: <br />3. <br />(7 <br />4. <br />5. <br /> Other (specify): <br />6. <br />Q'On-site hose bib that is connected to a potable water source. <br />9. <br />meats, tamales, cooked beans, rice, <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 />[Q'Xpproved bottled water. <br />7. <br />8. <br />Environmental Health DepartmentSAN JOAQUIN <br />------COUNTY------- <br />Greatness grows here. <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />Note: Examples of potentially hazardous food include: <br />vegetables, potato salad, eggs, and dairy products. <br />Date(s): <br />1868 E. Hazelton Avenue I Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />EHD 16-02 Page7of11 TEMPEVENT APP <br />07/01/2025 <br /> Other (specify): ,______________________________ <br />Electricity is provided for my booth’s use: Q'Ves No <br />I am providing an accurate probe thermometep to measure the hot and cold holding of potentially hazardous <br />foods during all times of booth operation: Bres 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 E^temo & hotel trays <br />(E'Oouble steamer Steam table & lids <br /> Electric stove top Other (specify) <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: D'KJ KJ <br />The following is information about my organization/business: <br />Name of organization/business: DllAMMD tAhJ GS^f kJ IaK/H <br />Z/335 RK util,eg qszvb________ <br />><3$D 2 - Alternate; ($0^) ^3^,.------------ <br />List food to be sold or given to the public: . -f/Uj <br />I am providing fooo that is NOT prepared at home: EYes No <br />All food is prepared on-site or is from approved commercial fecilities:j0^Yes No <br />Name of facility: <5*7“. 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 />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.