COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

Environmental Health Department All food vendors (both for profit and non-profit) are required to return a signed and completed copy of this checklist to the festival coordinator three (3) weeks prior to this event. Date(s): Saturdays 830 to 1230River Islands Certified Farmers' Market1. 2. Name of organization/business: Phone: 3. 4. No 5. Other (specify): for drinking, utensil and hand washing will be provided in my booth by the following methods:6.Appro' Approved bottled water. On-site hose bib that is connected to a potable water source. es 9. meats, tamales, cooked beans, rice, 7. 8. Note: The only operations not required to provide enclosed booths are those which sell beverages from approved dispensers, or prepackaged foods from approved sources. 1868 E. Hazelton Avenue | Stockton, California 952051 T 209 468-3420 | F 209 464-0138 | www.sjcehd.com EHD1&O2 Page 7 of 11 TEMPEVENT APP 07/3/17 Stemo & hotel trays Steam table & lids Other (specify) SAN JOAQUIN ------COUNTY------ Greotness grows here. . TEMPORARY FOOD VENDOR’S APPLICATION I.Name of Event: The following is information about my organization/business: I am providing food that is NOT prepared at home: All food is preparerlpn-site or is fronxaoproved cowmercie Name of facility: v Address of facility: < Ml b <i^ a I am providing a booth with me followng: (to protect my unpadcaged food and food-preparation areas from flies, dust apdHhe public) Note: Examples of potentially hazardous food include: vegetables, potato salad, eggs, and dairy products. booth with walls and ceiling constructed of either wood, canvas, plastic, similar material and fine mesh fly screening, completely enclosing open food areas. It will also have a smooth and cleanable floor (concrete, asphalt, dean tarps and smooth wood are acceptable) and constructed to separate food and food preparation areas from the public. 1 vnro - -------------------f?*** -—— Address: I GT * ** I____P I___ 111 Alternate: ( )_________________ List food to be sold or given to the public: >Ife res No srcial facilities: Phone: Other (specify): Electricity is provided for my booth's use: ^Yesl^No I am providing an accurate probe thermometaHo measure the hot and cold holding of potentially hazardous foods during all times of booth operation: Yes No I am providing the following hot temperature control for the hot holding of all potentially hazardous foods above 135"F: Camp stove □duble steamer jFl Electric stove top