Laserfiche WebLink
TEMPORARY FOOD VENDOR’S APPLICATION <br />■'/ETc c! D'csniza: LT b..s less prfttyi rrn fi attf <br />Address-4046 N American St. Stockton CA 95204 <br />Pic-'e:.898-9529 209 <br />COFFEE <br />i Or er ;scec •. >: <br />5 Aps'cved /.aterfor a'-iK-nq tzens 1 ard 15-d /.esTrg .*/1 bs crovidsd in -ny bo.z,' r’ o/.rg retbods <br />* Apo'cved ootfed /.-ater <br />; i Cn-si:e hose aib that s conneo’.ec to a ootab e .vater souroe <br />_Orber ;spec fy/ <br />Ehc’/rit; is p'ovided for my bootr’s use I * Yes 0 No <br />•.e-tahy haza-oous <br />? <br />L <br />T'.V <br />I am p-ovidng ar accurate O'coe ’.he'mometer to measure tne -ot ard cold "oldirg z: <br />•'oocs du-hg all: mes of oootP ope-aticn. __ v'es Li N" <br />Note: Tee or'y operations •*ot -equ/c-d to p'ovide enclosed Poors £*e ‘.rose •/.hen sell beve'ages ''om <br />approved cispe'se's o' p-eoackeced foods x-om aporo.ed sources <br />_J Ste-no S -oteit’a.s <br /> Steam taele > i ds <br />~; Otner (spec ‘y: <br />I ar providing a booth .vith the •'o'low rg :':o p'Otect n., unpaol ooeo J z .j foou p epa-atio". areas 'rem f'ie_- <br />c..s: and pub c) <br />i Cei-' u sieve <br />Dd-.c e steamer <br />Z a*." ?. stove too <br />L* A boo-?' a tn .valis and oe -g co"stmoted c? errer wood ca-ve? plast c. simi ar mater a and : re mesh •' y <br />scree', ng coriple:ely e-oosno ooer food a eo- I: ■. I. a'so • ave a smootr -one cleanaoie 'ice' mororete <br />asphalt e'ear ta-ps a~d smooth wood am acceptable} ano co n st mot a;-j to sepamte •cod and -ood o-epa-=‘:o- <br />='e=s ’''ot :he publo <br />Note: Examples of potentially hazardous food include: <br />vegetables, potato salad, eggs, and dairy products. <br />I an- o'ovic.ng the fol ov. -g bo: ter-pe'at. '= oortrcl ‘m the -o; nold -g -■ all pote-tia N hazardous foods abc .e <br />135T. <br />All food venoo'S iboth fc- p-ofit and •'on-orc'it- a'e reauired to -etu-i a sicred and comoleteo copy o-'tn-s checklist to <br />—- £est '.-a’ co“'di-.ator three . 3; .vee- s pno'm th s ?’ art <br />' Aa-: zl Eve-.r jenessa yanes /j <(.^1 ^^5* <br />2 The fol no ng is T'c-matmr about my cma-Va’ion n .1= -ess <br />Alternate ■ <br />meats, tamales, cooked beans, rice. <br />I am crcvid ng food l-o: is NOT crc-c-rec st Horne Yes L* <br />At food s oreoared or s te or :s f’om "pcT/ed commercia fact ties —' Yes L? No <br />Ka~e cf fac' ty none p-c--e (___ <br />Address of T's=dr.y._N0NB_____________________________________________