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IRE- - STOCKTON FIRE DEPARTMENT <br /> I>i FIRE PREVENTION DIVISION <br /> r-11"Y U1 <br /> (209) 937-8271 • FAX (209) 937-8893 STOCKTON <br /> RESPONSIBLE VENDOR FORM FOR <br /> ���OUTDOOR COOKING BOOTHS <br /> Name of Vendo _,r: <br /> Mailing Address:— - 0 `�1 Y` �� .- --- <br /> Telephone Number: <br /> Type of Outdoor Cooking Booth: <br /> Date(s) of Funcdom_ vv ( a <br /> Location of Function: <br /> GNU ti� (PrintN ne) hereby represent and warrant that I am the <br /> authorized agent of _ 1 _--(Print Name of Vendor), <br /> with the authority to act on Its behalf. <br /> On behalf of said vendor, I have read and understood the Fire Department's <br /> Regulations for Outdoor Cooking Booths ('Regulations"), and I agree to comply with the <br /> Regulations at the location and on the date(s) specified above. <br /> I understand and agree that the City of Stockton Fire Marshal (and/or representative <br /> thereof) may inspect said vendor's cooking booth at any time to enforce the <br /> Regulations. <br /> l further understand and agree that said vendor shall be held liable for any and all fees <br /> and costs related to violations of the Regulations, as determined by the Fire Marshal, in <br /> the exercise of his/her sole discretion. <br /> READ UNDERSTOOD, AND AGREED: <br /> OMarne <br /> Date <br /> nd'ntle <br /> Please return this completed form to: Stockton Fire Department <br /> Fire Prevention Division <br /> 345 N. El Dorado Street <br /> Stockton, CA 95202 <br /> Page10 <br />