Laserfiche WebLink
d? (j <br />Environmental Health Department <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />1.1. Name of Event: <br />2.The following is information about my organization/business: <br />Name of organization/business: Fresh Fries Frenzy <br />7204 Elvora Way, Elk Grove, CA 95757Address: <br />Phone: <br />3. <br />4. <br />5. <br /> Other (specify): <br />6. <br />9. <br />meats, tamales, cooked beans, rice, <br />TEMP EVENT APP <br />7. <br />8. <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 />SAN.JOAOUIN <br />C O U N T Y <br />Note: Examples of potentially hazardous food include: <br />vegetables, potato salad, eggs, and dairy products. <br />All food vendors (both for profit and non-profit) are required to return a signed and completed copy of this checklist to <br />the festival coordinator three (3) weeks prior to this event. <br />Manteca Watermelon Festival <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www si9ovWehd <br />EHD 16-02 Page 7 of 11 TEMP E'.'ENT A! <br />07/01/2024 <br />/Yes No <br />net/r to measure the hot and cold holding of potentially hazardous <br />[_□ Yes No <br />I am providing the following hot temperature control for the hot holding of all potentially hazardous foods above <br />135°F: <br /> Camp stove <br /> Double steamer <br /> Electric stove top <br />Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods: <br />S^pproved bottled water. <br />B^)n-site hose bib that is connected to a potable water source. <br /> Other (specify):/ <br />Electricity is provided for my booth's use: <br />I am providing an accurate probe thermom <br />foods during all times of booth operation: [ <br />( 510) 932-9707 Alternated 916 ) 705-4900 <br />List food to be sold or given to the publicities, chicken wings, tenders, chicken burgers, nachos, chili cheese <br />fries/dog, onion rings, mozzarella sticks, lemonade and soft drinks <br />I am providing food that is NOT prepared at home: [yr Yes No f <br />All food is prepared on-site or is from approved commercial facilities: M Yes No <br />Name of facility: Valet Indoor Storage Phone: (916 ) 498-9787 <br />Address of facility: 1100 Richards Blvd, Sacramento, CA 95811 <br />I am providing a booth with the following: (to protect my unpackaged food and food-preparation areas from flies, <br />dust and the public) <br />SjA booth with walls and ceiling constructed of either wood, canvas, plastic, similar material and fine mesh fly <br />screening, 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 from the public. <br /> Stemo & hotel trays <br /> Steam table & lids <br />[Vj other (specify) Warmer <br />Date(s): June 7th/8th