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SJ County Fair Temp food application 3019_000073.jpg6/5/2019 <br />Environmental Health Department <br />2. <br />+Address'. <br />3. <br />4. <br />1 <br />5. <br />those which sell beverages from <br />9. <br />cooked beans, rice,meats, tamales, <br />1/1htlps^/mail.google.com/maiVca/u/0/#inbox/QgrcJHrtrSdPnbjqznTcSkQxmWGFGKpBSrq?projector=l&messagePartld 0.1 <br />7. <br />8. <br />6. <br />X <br />SANJOAOUIN <br />-----COUNTY------- <br />Gre«tn«ts 9.row» here. <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />are required to return a signed and completed copy of this checklist to | <br /> Date(sLcblrjJ>^^ <br />All food vendors (both for profit and non-profit) <br />the festival coordinator three (3) weeks pnor t^l^even^^ <br />1. 1. Name of Event;. — <br />The following is information about my organization/buslness: ’ /Q r • <br /> <br />Name of o^anization/business: <br />\47. ,>DrS.cy> SArcrff , nrinin-l-rPA iC6l <br /> Phone: ------------------ Alternate:^) <br /> List food to behold <jr given to the publ,c:Tn^^£^^^^ <br />^provWing tod that is bJOT prepared at home: □ Yes <br />^€33^ <br />to)4 -0344 <br />, that is NOT oreoared at home: Yes LJ No <br />AH food is prepared on-site or Is from approved commercial <br />Name of facility: frilin <br />dust and the public) <br />areas from the public. <br />^pother (specify): <br />[^Approved bottled water. <br />On-site hose bib that is connected to a potable water source. <br /> <br />, if—" S5X3SS5S <br /> Camp stove Sterno & hotel trays <br />^Double steamer Steam table & lids <br /> Electric stove top Other (specify) <br />EHD 16-02 <br />07/3/17 . . ' .