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Environmental Health Department <br />NAME OF BOOTH PHONE # <br />Roy Harwell 209-609-0202 <br />SANJOAQUIN <br />------COUNTY------ <br />Greotness qro^t here <br />person before and on day of event <br />CONTACT PERSON <br />TEMPORARY EVENT FOOD VENDOR LIST <br />FV#- Corresponding number for Food Booth on site plan <br />NAME OF BOOTH-Food vending business <br />CONTACT PERSON-Responsible person for booth <br />PHONE #-Phone number of Contact <br />FV# <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sicehd.com <br />07/3/lT°2 Pa9e 11 Of 11 TEMP EVENT APP