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Environmental Health Department <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />Paters): July 14& 15, 20231. <br />2, <br />Address: <br />( 209 ) 277-6248Phone: <br />3. <br />4, <br />5. <br />C8 Other (specify): <br />6. <br /> On-site hose bib that is connected to a potable water source. <br />9. <br />meats, tamales, cooked beans, rice, <br />7. <br />8. <br />Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods: <br /> Approved bottled water. <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 />135T: <br /> Camp stove <br /> Double steamer <br /> Electric stove top <br />SAN JOAQUIN <br />- COUNTY- <br />The following is information about my organization/business: <br />Name of organization/business: Flip N Fry Mobile Catering LLC <br />3933 Shady Oak Ct, Turlock, CA 95382 <br />Alternate: ( ) <br />List food to be sold or given to the public: Burgers, Fries Philly Chccscsteaks, <br />can sodaTbottle water” <br />I am providing food that is NOT prepared at home: Yes No <br />All food is prepared on-site or is from approved commercial facilities: H Yes No <br />Name of facility: La Comisaria _ ______Phone. <209 )338-3663 <br />Address of facility: 1211 S 7th St, Modesto, CA 95351 <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 />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com <br />OT/a/v 02 Pafle 7 °f 11 TEMP EVENT APP <br />Note: Examples of potentially hazardous food Include: <br />vegetables, potato salad, eggs, and dairy products. <br />foods during all times of booth operation: ® Yes No <br />I am providing the following hot temperature control for the hot holding of all potentially hazardous foods above <br /> Sterno & hotel trays <br />Steam table & lids <br /> 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: Escalon Park Fete <br /> 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 />Enclosed mobile food trailer <br />® Other (specify): potable water tank <br />Electricity is provided for my booth's use: Yes H No <br />I am providing an accurate probe thermometer to measure the hot and cold holding of potentially hazardous