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Environmental Health Department <br />FV# NAME OF BOOTH ;____________ ________ <br />fy.n _ <br />7^(20 — <br />y/z 6?ir/ <br />PHONE# ________ <br />^<9? - 50^~ le5^ <br />^95-1 <br />,9/0 -SO^-^ZSTD <br />/wp .570-^^^^ <br />I 4-1 <br />^.T-W-aos^ <br />1868 E. Hazelton Avenue I Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com <br />EHD 16-02 Page 11 of 11 TEMP EVENT APP <br />07/3/17 <br />SAN JOAQUIN <br />COUNTY---- <br />Gi Psl! nr’SS fp cnv1, here. <br />TEMPORARY EVENT FOOD VENDOR LIST <br />FV#- Corresponding number for Food Booth on site plan <br />NAME OF BOOTH-Food vending business <br />CONTACT PERSON-Responsible person for booth <br />PHONE #-Phone number of Contact person before and on day of event <br />------------------- -------------- -------------- I CONTACT PERSON <br />/?-/7-er5oro <br />ZzT >rrcj ^6 l(L n ci <br />ack>j.a <br />______ h^rri'^cn <br />/72-tc/uU 4 /Wfej/CT <br />. S n nrV? . 8^9 chfri Ic <br />UL <br />i M <br />/o <br />-Ln- <br />_3^