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REC-008 <br /> W IN <br /> S A N J O A Q U I N Environmental Health Department <br /> C 0 U N T Y— I <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 cheoWist to <br /> the festival coordinator tlree (3) weeks prior to this event. <br /> Muslo In the Par,., Kite Festival Juneteenth Jul <br /> 1• 1.Name of Event: __ Date(s) 9/21/2024 <br /> 2, The following is information about my organization/business: I <br /> Name of organ ization/buslness: Shwh or-it <br /> Address: r1061 Market Place San Ramon CA j <br /> Phone: +1 (92.5)-415-32.70 Alternate: <br /> 3, List food to be sold or given to the public: Chicken Shawarma Wrap, Falafel, Gyro, Fries, &Lamb Burger <br /> 1 <br /> 4. 1 am providing food that Is NOT prepared at home:21'es�l0 I <br /> I <br /> All food is prepared on-silo or is from approved commercial facilitles:�l'es la <br /> Name of facility: ,Shl-h('1�•III Phone: <br /> Address of fa t1i1y1061 Market Place Sate amon CA <br /> 5, 1 am providing a booth with the following: (to protect my unpackaged food and food-preparation areas from files, <br /> dust and the public) j <br /> f <br /> boolli with walls and ceiling constructed of either wood, canvas, plastic, similar material and fine mesh Ily 3 <br /> 1FMenlng, 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 Irom the public, f <br /> D1her(specify): <br /> I <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 /> 6. Approved water for drinking, utensil and hand washln j will be provided In my booth by the following methods: <br /> [ Approved bottled water. <br /> Dn-site hose bib that is connected to a potable water source. <br /> 7. Pher(speclly): <br /> ecirlolly Is provided for my booth's use'' IIYe �/No <br /> g, 1 am providing an accurate probe lhem6a&e asure the hot and cold holding of potentially hazardous <br /> foods during all times of booth operation '/lye o <br /> p, 1 am providing the following hot temperatu" ntr the hot holding of all potentially hazardous foods above <br /> 4l"lecirlo <br /> ampstove ✓ terno & hotel trays <br /> ouble steamer Stearn table &lids <br /> stove top Other(speelfy) <br /> Note: Examples of potentially hazardous food include: meats, tamales, cocked beans, rice, I <br /> vegetables,potato salad,eggs,and dairy products. ! <br /> 1666 E,I-lazelton Avenue I Stockton,California 952051 T 209 466.3420 I P 209 464.0138 I www,$)gov.org/ehd <br /> EHD 18,o2 Pnon 7 n!1 f TEMP EVENT MP <br /> Dslf 9!18 <br />