Laserfiche WebLink
Environmental Health Department <br />1.I.Name of Event: <br />2. <br />Address: <br />( 209)672-0586Phone:) <br />3.List food to be sold or given to the public: <br />4. <br />5. <br />[x] Other (specify): '['ruck <br />Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods:6. <br />S Approved bottled water. <br /> On-site hose bib that is connected to a potable water source. <br />9. <br />meats, tamales, cooked beans, rice, <br />7. <br />8. <br /> A 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 />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 /> Other (specify):___________________________ <br />Electricity is provided for my booth’s use: Yes H No <br />I am providing an accurate probe thermometer to measure the hot and cold holding of potentially hazardous <br /> Sterno & hotel trays <br /> Steam table & lids <br /> Other (specify) <br />_____________ Alternate: ( <br />Soft Serve & Toppings <br />5/21/25, 6/18/25, 7/16/25, 8/20/25, 10/5/25 <br />Date(s): <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 [ F 209 464-0138 | www.sjcehd.com <br />EHD 16-02 Page 7 of 11 TEMP EVENT APP <br />07/3/17 <br />The following is information about my organization/business: <br />Name of organization/business: Yogurt Mill <br />4600 Glass Ct Stc A Modesto, CA 95356 <br />SAN JOAQUIN <br />------COUNTY------- <br />Greatness grows lieee. <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />All food vendors (both for 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 />Escalon Farmers Market <br />Note: Examples of potentially hazardous food include: <br />vegetables, potato salad, eggs, and dairy products. <br />foods during all times of booth operation: [x] Yes No <br />I am providing the following hot temperature control for the hot holding of all potentially hazardous foods above <br />135°F: <br />I 1 Camp stove <br /> Double steamer <br /> Electric stove top <br />I am providing food that is NOT prepared at home: [x] Yes No <br />All food is prepared on-site or is from approved commercial facilities: [x] Yes No <br />Name of facility: Max’s Kitchen Phone: ( 650)219-8573 <br />Address of facility: 1211 S 7th St Modesto, CA 95351 <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 />7 ' 1 <br />-.4; "■