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5. Numr of Event Ctemenls Stamped<»■ <br /> <br />2 <br />AcMto-h <br />Phone J <br />1 <br />4 <br />5 <br />a. <br />'J <br />cocked beam <br />114Ji i <br />'/J AM rj-.,e <br />7 <br />5 <br />O ffcorno 4 hciel trayi <br />I I Dlenm Lat*e t fadi <br />0 Orjiiw . apecrff i <br />J_________ __ A’fnnbo ( <br />i^^n/AVAudg <br />07 <br />Environmental Health Department <br />reca .■« to reum q Hflnetf and coTcne-ec copy erf flit, cnccifttl to <br />'•Vx*wr r •’r.n aO'/-v. > T ^.*3 <*n 142,? r <br />The aoAowrng is ntanruiUoG about my oparcraiixiV^wioea ' <br />Name of c-TJDniEalk>n.fcui.r>we h^V-rlXf <br />11(7% ^4 tts4 <br />Um food to be soil ot &van to ino puNc <br />_IMaUKa '"Twct^'r <br />-Ua i /?/ <br />maeU. <br />WA*A ' y rfw • <br />' t A* t <br />SAN JOAQUIN <br />l“ CH I NT V <br />uu. ♦ <br />L. • m ’ ’ • n } , .«• | (if r <br />TEMPORARY FOOD VENDOR'S APPLICATION <br />Ait ^oo<3 vendors (Pod tw CNufll and ncn-fXtrfn? are r;-1 ‘~ <br />?Se tertv* dOTtoatcx Viren (3j sHNnks prkrf to lt» rwt <br />1 <br />4 am pruvtoroQ food that« prepay al bcm* ^YwDno <br />at Coori 11 [xepared cn-«z* <x ^ frum apvMCT.nrtj^r-ynercMti fac.tbM ^ffes Qrf-No <br />Narasol^ity -fajj Srt\Q pnena./ i <br />AddfeutrfboJ<y:_______________ _______________________________ <br />' tolk>^ <to unwckAjed faxj «nd tood^rarator «m fron Ac <br />uum anq putxci <br /> Abocrfhwtm^ltearto^npcwalni^trferewDod, can/M.ptMCic rratataJ end hr* nse^ »K <br />wreemna wm^aly Mc^^n-g opor. rood area* n h«vt « prxziih air. dwonNe ftoor iccrc-'ele <br />roUnx^the ■AOC,3 {,rfl *x*ptat<i ano cooMajcumi to acpanale food and food prepomtun <br />£3 00w weetty) Q I1 Vy^Y V^1 '"| |y,.<, p Ifi.y" <br />Note: The only opcrabois not requi-ed to pwoe MdMM roc th 6 vb enowr when uk te.w»m her, <br />lipp-twed cLipcnterB. ck jx npa<>j(jed foods rrwn appro.ed sources <br />Approved ww for tfnnkng. utensil and hand was^rq w4l b® provided n booth by me faacMng methods <br />L^App<CV£d tXXSM water <br />0 0n-*Mc tx*Mf txii that ts connected to a pccarfjte water MArfce <br />□ Other fepcotyl H J \ V V) Ab Vi) <br />EJecincily M provrfetf tor my Dooth's um L Vfi GTno <br />1 an p-ovki-np an accurate prooc r/tenr-xr**.®' to'rreasbi'e the b« ord coto i.otHig of pwro^K, naiarir,.. <br />food* dunng »v tmm m tooth operahon Yn <br />1 ,n* ho< temperature oontroJ fcz the lick reidlnp o' at pctmxuify hazardous foods acn.^ <br />0 Onp cio.-r <br />| J Dojt-rki itnamer <br />[ IF ‘AHtto Ktortr top <br />NcHa Finnple* of potmrUiFy hBand-ov*. food Incited* <br />•■*ueub4«*. potirvj adad, •0B« MO dUQ prcxJu-sts <br />■< H I <br />H«» ** '