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Environmental Health Department TEMPORARY FOOD VENDOR’S APPLICATION required to return a signed and completed copy of this checklist to 1. Date(s): March 10, 2026 2.The following is information about my organization/business: Name of organization/business:Las Delicias del Barrio Address:2636 M Wilson wrv ^9. Stockton Ct A Phone:) 6361359 3.List food to be sold or given to the public: 4. 5. those which sell beverages from 6. On-site hose bib that is connected to a potable water source. 9. meats, tamales, cooked beans, rice,Note: Examples of potentially hazardous food include: vegetables, potato salad, eggs, and dairy products. Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods: Approved bottled water. 7. 8. SAN JOAQUIN -COUN T Y Oplipiniig ypgpfarian fnnd Note: The only operations not required to provide enclosed booths are approved dispensers, or prepackaged foods from approved sources. All food vendors (both for profit and non-profit) are i ' the festival coordinator three (3) weeks prior to this event. 1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjcehd.com O7/?117 P39e 7 °f 11 TEMP EVENT APP I am providing food that is NOT prepared at home: Q Yes No All food is prepared on-site or is from approved commercial facilities: Q Yes No Name of facility: i as Delicias dRl Barrio __________________Phone: ( ppg )R3Ri3K9 Address of facility:_ Mobil food truck ____________________ I am providing a booth with the following: (to protect my unpackaged food and food-preparation areas from flies, dust and the public) ( 209 Q Other (specify):.Clean Wator from water wells________ _ Electricity is provided for my booth’s use: Q Yes No I am providing an accurate probe thermometer to measure the hot and cold holding of potentially hazardous foods during all times of booth operation: E^Yes No 1 Por°v’d'n9 the fol,owin9 hot temperature control for the hot holding of all potentially hazardous foods above Camp stove Sterno & hotel trays EJ Double steamer ES Steam table & lids Electric stove top Other (specify) ) -4823103, A 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, clean tarps and smooth wood are acceptable) and constructed to separate food and food preparation areas from the public. Alternate: ( 209 E3: Other (specify): taco truck 1. Name of Event: Farth day