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_ STOCKTON FIRE DEPARTMENT <br /> i <br /> FIRE PREVENTION DIVISION C[TYD1; <br /> (209) 037-8271 ° FAX (209)937-8893 <br /> A <br /> RESPONSIBLE VENDOR FORM FOR <br /> OUTDOOR COOKING BOOTHS <br /> Name nfVendor: <br /> J. <br /> Mailing Add nosm:_/�/' ' '� <br /> ~ ^ <br /> Te|ephnneNu <br /> "'"='Type <br /> ofOutdoor Cooking BooUh: <br /> ' -----'—^---^-----' c�+�� <br /> ~~~ Function:r, ~' ° - 72 <br /> Location ofFunction: <br /> 1, <br /> �anxherebvraprenentand wanentthat| mm �e <br /> authorbedagent of ' <br /> _ �"m/�Nvmoo�Ne�o� <br /> . vx|ththeauthohtyhoaotonitobeho|t ---'---- � ' <br /> On behalf of said vendor, | have Padd and understood the Fire Department's <br /> Regulations for Outdoor Cooking Booths /''Regu|obunu">. and | agree tocomply vviththe <br /> Regu|ahonmatthe location and onthe dG (n) opeci�ed-bove. <br /> | understand and agree that tie City nfStockton Fire Marshal (and/or representative <br /> thereof) may inspect said vendor's cooking booth at any `|ono to enforce the <br /> Regulations. <br /> | further understand and agree that said vendor mhoU be held liable for any and all fees <br /> and costs na(ahad to violations of the Regu|oUona, as determined by the Fire K8ansho/ in <br /> the exercise ofhis/her sole discretion. ' <br /> UNDERST90D,AND AGREED: <br /> a|gca{vm — Date <br /> �-arne <br /> Please notm,n th/a completed form to: Stockton Fire Department <br /> Fire Prevention Division <br /> 346N. E| Dorado Street <br /> Stockton, CA 95202 <br /> Page 10 <br /> - <br />