Laserfiche WebLink
Environmental Health Department <br />Data(s):-1. <br />2. <br />3. <br />5. <br /> Other (specify): <br />6. <br />9. <br />meats, tamales, cooked beans, rice, <br />(a- <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 />O On-site hose bib that is connected to a potable water source. <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 /> Stemo & hotel trays <br />JS^Steam table & lids <br />0 Other (specify) <br />SANJOAOUIN <br />— COUNTY <br />TEMPORARY FOOD VENDOR'S APPLICATION <br />Note: Examples of potentially hazardous food include: <br />vegetables, potato salad, eggs, and dairy products. <br />All food vendors (both tor 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: <br /> Other (specify): ,_____________________________________________ <br />Electricity is provided for my booth's use: Yes ^No <br />I am providing an accurate probe thermometer to measure the hot and cold holding of potentially hazardous <br />foods during all times of booth operation: ]3Yes No <br />I am providing the following hot temperature control for the hot holding of all potentially hazardous foods above <br />135°F: <br /> Camp stove <br /> Double steamer <br />0 Electric stove top <br />1868 E Hazelton Avenue | Stockton, California 952051 T 209 468-34201 F 209 464-0138 | www.sjgov.org/ehd <br />EHD1MJ2 Psgsfodl TEMP EVENTAP" <br />oviafit <br />The following is information about my organization/business. <br />Name of organization/business: 5 B T3 <br />Address: <br />Phone: *'/'') I 7-- Alternate: ( <br />List food to be sold or given to the public: VZI -"T/P j 73 <br />I am providing food that is NOT prepared at home: J^t.Yes No <br />Ail food is prepared onsite or is from approved commercial facilities:S£Yes No <br />Name of facility: ugZ/A 5/feDUP Ay /^f^D Phone: (Ztff) <br />Address of fadlity: 5 <p.pg>gj- <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 />^SfiA 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 />)_______________