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https://mail.google.eom/mail/u/0/7ogblimagejpeg_l.JPG <br />SAN JOACUIN <br />7 of 11 TEMPORARY FOOD VENDOR S APPLICATION <br />Oa'ets)1 <br />2 <br />Add'V'K <br />3 <br />4 <br />5 <br />6 <br />Approved bottled water <br />9 <br />meats, tamalas, cooked beana. rice, <br />10/20/2022, 7:39 PM1 of 1 <br />E Hazefon A.cnue S'orMon <br />W' <»4Z <br />7. <br />0 <br />Cal forma 95205 | T 209 468 34201 F 209 404 0138 | wwws|r>Morn«M <br />Ute'tat' <br />I ^’thermometer to measure the hot and cold hotd.ng of potently hazardoJ <br />I ^r’o^ X tatov^gTrXZeratme control (or the hot botong of all potently hazardous foods above <br />135’F‘ <br />[J] Camp stove Sterno 4 hotel trays <br /> Double steamer Steam table 4 Ms <br /> Eiectric stove top Oh" (speerfy) <br />Name wu-MC-Mnin <br />1/ //(■ iC" <br />is: food tc tv s ad or q vt>n to the pobi>c | <br />O Other (speedy). ___—------------------------------————------------------------------' <br />Note The only operatons not requrred to provide enclosed booths are those whch sen beverages from <br />approved dispensers or prepackaged foods from approved sources. <br />Approved water for dnnkrng utensrl and hand washing wll be provded m my booth by the to Sowing methods. <br />Note: Examples of potonhally hazardous food Include: <br />vegetables, potato salad, eggs, and dairy products <br />I am providing ‘cod th.it ® NC.I prepared .it home ZXVes O No <br />A' food <s prepared on site or <s from aoprovcc commercial faci^es*ti3 Yes (1 No 7/ '7- <br />Kame o' fao'ity ------------ <br />AdOess o< faculty <2 7 AzC«-M M <br />I am provKkno a booth with the foSowmq (to protect my unpockaged food and food-preparation areas from flies <br />dust and the pubnc) <br />Qa booth with watts and ce<kng constructed of either wood, canvas, plastic, srmiar ™teral ardttne meshJly <br />s^eenng completely enclosing open food areas, it wtl also have a smooth and cieanacte floor (concrete, <br />asphalt clean tarps a-d smooth wood are acceptable) and constructed to separate food and food preparat.cn <br />areas from the pubc <br />At tood vendors <tx.!h Air protrt and non cwoMi are requrrrwl to return a Muricrl and competed copy thrS checklist to <br />the testfva; cootvfcn.itor th'ee t *i .yhevs tX-ir to 7n em-U. / / <br />I Name O' Li ent Orcbwiyi^'j t <br />The ^Bowing k riMonviVhm sbsMrt my <Mu.Tni/At.<“*r\'HK <br />OaMCM LLc ~—^>7/ 7?/ P ’A /10 <- <br />__ Alternate (