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ON JOAQUIN Environmental Health Department <br />Ii <br />) <br />1 <br />if ■ <br />i <br />those which sell beverages from <br />ly booth by the following methods. <br />I <br />the hot and cold holding of potentially hazardous <br />meats, tamales, cooked beans, nee, <br />/ <br />Avenue | Stockton TEMP EVENT APP <br />Page 7 of 11 <br />Alternate ( <br />'TiS./v <br />steamer <br />stove top <br />imples of potentially <br />Date(s) froprf VtoUtA <br /> Other <br />Electricity <br />'■ I <br />I <br />I i <br />2 <br />I <br />J 06’ r k’V <br />"I <br />’ 5 <br />lam „ <br />135JF: <br /> Ca‘mp|tove <br />□ D^bl <br /> Eldctr <br />i’ <br />’ 1 ■;1 <br />•A <br />6 <br />I <br />££HP <br />iXwH— pX the hot and cotd hotd.ng ot potently hazardous <br />I Xte ttre'folfowing^t the hot hotd.ng ot alt potential hazardous foods above <br /> Sterno & hotel trays <br /> Steam table & lids <br />g’Other (specify) <br />hazardous food include: <br />letables, potato salad, eggs, and dairy products. <br />t 11 <br />r <br />9. <br />■ I 3’ <br />tf/l <br />A'jy <br />. I!: id <br />TEMPORARY FOOD VENDOR’S APPLICATION> I <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 J C_^2_kL___________________ <br />The following is information about my organization/business. <br />Name of cyganization/business:fS’K.f <br />Address.11 <br />Phonq: ( <br />List' food tp be sold or given to the public: VpzgVr <br />I am providing food that is NOT prepared at home YesJ^No <br />All food is prepared on-site or is from approved commercial facilities Yes S^No <br />Name'of facility: Phone. (-------------------------------------------------------------- <br /> <br />famprolnsXoth with the follow.ng: (to protect my unpackaged food and food-preparat.on areas from fires. <br />dust anrj the public) <br />gfA bootlr with walls and ceiling constructed of either wood canvas. Plas^simriar ™ter,al and flne, mesh fly <br />lArCSS S food and food patron <br />areas fronj the public <br /> Other i^pecify):------------------------------------- ------------------------------------ <br />Note-i Th1! only operations not required to provide enclosed booths: are <br />approved dispensers, or prepackaged foods from approved sources. <br />Approved rater for drinking, utensil and hand washing will be provided in rm <br />(3EApprowed bottled water <br />0'Orisiti hose bib that is connected to a potable water source