COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

Environmental Health Department 1. 2. DriveAddress: Phone: 3. 4. 5. 6. Approved bottled water. 9. TEMP EVENT APPPage 7 of 11 7. 8. SANJOAQUIN ------COUNTY------- Greotncii grows heie- TEMPORARY FOOD VENDOR’S APPLICATION Cc < 7^) ^0$ - £#06" <rA3V?ctf-v 1868 E. Hazelton Avenue | Stockton. California 95205 | T 209 468-34201 F 209 464-0138 | www.sjcehd com EHD 16-02 Pogo 7 ol 11 TEMP EVENT 0773/17 135*F: Camp stove Double steamer O Electric stove top Noto: Examples of potentially hazardous food include: vegetables, potato salad, eggs, and dairy products. On-site hose bib thaj is connected to a potable water source. frtf Other (specify): | LCHter _________ Electricity is provided for my booth's use: Yes K No I am providing an accurate probe thermometprfo measure the hot and cold holding of potentially hazardous foods during all times of booth operation: SC Yes O No I am providing the following hot temperature control for the hot holding of all potentially hazardous foods above Stemo & hotel trays Steam table & lids ^^Other (specify) meats, tamales, cooked beans, rice, All food vendors (both for profit and non-profit) are required to return a signed and completed copy of this checklist to the festival coordinator three (3) weeks prior to this event. I.Name of Event: Mfcl O' A Date(s): The following is information about my organization/business: Name of organization/business: y (2^) Alternate: List food to be sold or given to the public: I am providing food that is NOT prepared at home: j^Yes □ No All food is prepared gn-site or is from approved commercial facilities: B^Yes No , Name Of fadlly; Ptoe Address of facility: 3C 4K cVTfyAic----------------------------------------------------------------- I am providing a booth with the following: (to protect my unpackaged food and food-preparation areas from flies, dust and the public) 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. > pother (specify): C ------------------------------------—--------------- Note: The only operations not required to provide enclosed booths are those which sell beverages from approved dispensers, or prepackaged foods from approved sources. Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods.