Laserfiche WebLink
SAN •10AUWN Environmental Hoalth Department C <br /> d <br /> TEMPORARY FOOD VENDOR'S APPLICATION j CO <br /> AA emd�utdarr4(boar ra pmel errt nmaoMl ire I,Wtad Its relinn A.peed sIV awep4led cagy no des n:MrAt4t 10 1\�l <br /> tN,c,E <br /> ewra.nnrmer�nrorn+n/{aaA <br /> �jtatwwororM+ A i�iSrit � rl <br /> 1 re m'LS1a4 <br /> c1V.ryry_De h <br /> ryas l�'h Pe <br /> me mnaweg A olaarno+wba RValpw.rllorubuastea► �!� <br /> • Nemea1o11W¢atta+7nrainaa! r <br /> Add� 9/ -A1Qmbliera 06( <br /> Pnor! t�J�7 q py� Aherryle f�V7! /�- <br /> ir>01md to oe sold a gnon wq+Yl� 0.1'-�, C'_IwGo ta� isspy� <br /> GAYMCQIG pfP ��� rrnr5 <br /> A I am PV.*V hvd ow s aapared al name Yes[]No —J /n1 <br /> AR loud a!�pAeo�s W ary a n am+apfraed tactihea:f�Yes❑th p�pEzal,ed 4.�rJ <br /> Narre Or faCilY. Preen <br /> 4ddrts of tecisry <br /> am p*Awg a booth w+dr as totlbrwg 00 Prole�'1 nrr unowke3ed bod and kod p�epwauea reaa can rrs <br /> one and trte pubes) <br /> A bopa�w41 W11!area Cavrg m+m'ucbd Or eratM rterat,r�rrvas PuIvIe'Mnvbr nou"el sna kw moan ey <br /> dg,canpe�Y enr oynp open toed Oren h*AR a have robl <br /> a wro0dt a d dera spar(cMM 9e <br /> 0.dean tarps and wrnood�rood re scnmlable)and const—W to separate food AN bad prepera� <br /> ran from the pubt e <br /> ❑Other(sp") <br /> Nast:The only OMMWns not required to Pn0vda enclosed booths are those whwh sere bmeragee hen <br /> appn ed dmpensam or prapetlnGed foods ham approved sources <br /> 6. AyprnrM water for dnnkhg•utansl and hand waehhg"be PVY dm In mY booth try Ina f0l d "g memoCs. <br /> ❑Approwd Domed rarer <br /> ❑Ones rtvse Ge that p ODM*CW to it pie water saucy. <br /> i7�Odrr(epeoilyr . <br /> 7 16 prt?vded f my beetlYs ia Yea LJ No <br /> 8. I on,pwidea art amrrafe probe tlterrrtornr Io measure the hot and cold hr>ldng Ot PDtw*OIY rQzw0Ora <br /> Ipeds A Wrg Pt omn ct tuoM OparlbOn$Yes Cf No <br /> 9. I era pending to IdlD�vBg hX lamparatur conbd V the hot holding DI au potentially hwArdw$fends above <br /> 135'F <br /> ❑camp etas ❑Starno d twtel trays <br /> ❑Double ataemm ❑Steam labia&AS <br /> ❑Electric atUM CDP []Other{spacdy} <br /> Note: Examples of potandallr hazardous food Include: meats, tamaNa, MAW Leans, dce, <br /> Yepelables,Potato salad,eggs,end dairy products. <br /> 1868E Hazeiton Avenue I Stockton.CaI.Wrue 952051 T 209468-34201 f 209454A138 1 v s;0e ev�ent�rr <br /> r.a0 ra <br /> ,�e•,e vG <br />