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rty May Sth 20171. <br />2. <br />Mafioso CateringName of orga n Iz a tio n/bu s Iness : <br />3204 Deerfield ct stockton ca 95209 <br />).Alternated ((408-6^8-2114 <br />3. <br />4. <br />)on-slte or Is from <br />approved commercial <br />facilities; <br />Name of facility; <br />Address of facility; <br />5. <br /> A <br />x <br />areas from the public. <br />6.Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods! <br />On-site hose bib that Is connected to a potable water source. <br />(specify): <br />7. <br />8. <br />9. <br />hotel tra ys <br />ta ble <br />(specify) <br />TEMP EVENT APP5 of 9EHD 16-02 <br />7/14/15 <br />List food to be sold or given to the public! Steak chicken pOfk <br />tacos <br />Stockton block Par <br />Event! Date(s): <br />Ad dress! <br />Electricity is provided for my booth’s useQ Yes <br />x <br />Page <br />Phone! <br />Note ! The <br />Other <br />Other <br />The <br />No <br />Stea m <br />I Camp stove <br />1 . Name of <br />No <br />I |^Y e s LZ] N o <br />Phone! (_____ <br />following Is information about my orga n iza tion/business! <br /> other (specify)! <br />Double steamer & lids <br />I L Approved bottled water. <br />Sterno & <br />I am providing food that is NOT prepared at home □f^s <br />I am providing th e following hot te m perature control for the hot holding of a II pote ntia 11 y hazardous foods above <br />135°F: <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 />I am providing a booth with the following! (to protect my unpackaged food and food-pre pa ratio n areas from flies, <br />dust and the public) <br />only operations not required to provide enclosed booths are those which sell beverages from approved <br />dispensers, or prepackaged foods from approved sources. <br />All food is prepared <br />Electric stove top <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 I Yes N o