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TEMPORARY FOOD VENDOR’S APPLICATION <br />" -f E-ze-f <br />A^':r=>«' <br />Pnc-'e <br />Lst ‘os: <br />p; .....e <br />Food trailerO:Her ;so3c.b/>: <br />6 Approved v.aterfor d-in^rg ueos srd na-d .■.ss’-ir <br />X App-cved oo" ed .^ator <br />i 1 Oii-site hose Pit t-at s connect to a potal = .vater sojcce <br />22 Other (specify) <br />EtecP^t/ s p-cv ded for my booth's use i Yes % No <br />2 <br />9 <br />Made to order <br />7 -T'V <br />Note: The only operations not -squired to p-ovide enclosed booths those which sei beverages from <br />approved cispe-se's o' p-ececkaned foods ‘on apo-o/ed sources <br />! ar providing a booth .vith the 'o y.'.- g ::o p-oteot my uioaot-oged food a' j foou p eparatioo areas 'rom • io-, <br />d-s: and the pub :) <br />I Ce—p stove <br />~ Do..o e steamer <br />CL - sc- ?. stove top <br />Note: Examples of potentially ha7atdous *ood include: <br />vegetables, potato salad, eggs, and dairy products. <br />Narre c? O'gsnizst on b..s ness <br />12865 Eldel Rd Pine Grove Ca 95665 <br />2098647566 <br />I srr o-ov'tng the f:-. ov. -q l-?- :empe-aL-= oor‘rcl for the no!'! 'g all pote-:ia i. h=z2'd?us foods abc.e <br />135T. <br />____________Alte'ns'.e. : i_______________________ <br />Fresh squeezed lemonades classic and flavored, funnel cake <br />with andiA/lthouTfrolt toppings,rbottfed water <br />1 am pre. d ng food t-st is NOT preea-ea st nome )C —s b No <br />Al :::□ ? o-spared * to or :;s ‘-jn ?[ : •/ '.r Yes 0 Nc <br />Na-e z! fac -y Pine grove civic improvement center <br />; . 19889 ca-88 Pine Grove Ca 95665 <br />S'&-no i "atelfs.-s <br /> Ste=m tsr e i I as <br />X •. ier (speefy) <br />Ail food i/endors (both for profit and ^on-profit) a-e required to return a signed and completed copy of this checklist to <br />-- -es: va1 conrdrat j-ture~ .3: r.ee- = th s =rt <br />Stockton tequila fest 2026 <br />Lush Lemon <br />I ar- providing ar accura-.e c-oce •.he'niomerer to measure tne ~at and uc!d ' ola.rg z" pc-.e-'./ai.y haza-dous <br />•adds du* ng all: mes of ooom ope-abc-X _ v=s £2 N'“ <br />L_ A boo:1’ with .•.a:'s and ce -g co^st-uotea of ermer .vo:-d ca-vas piast sirrn ar mater a a-d : re mesn - ,■ <br />screer ng completely enclosing open food areas It will also have a smooth ana cleanaoie floor (conorete <br />asphalt c'aar tarps a-*d smooth •.vond acceptable) anc ccnstr.-cted 'o se.oa-ate food and •cod o-epa'ation <br />areas -cm tne p „b!: <br />X- <br />meats, tamales, cooked beans, rice. <br />■.■ I' be oro'Joed in my Post" z; t"e •’o' oz'mg metnocs