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COMPLIANCE INFO
Environmental Health - Public
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EHD Program Facility Records by Street Name
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GRANT
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133
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1600 - Food Program
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PR0540437
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COMPLIANCE INFO
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Entry Properties
Last modified
7/17/2026 11:09:37 AM
Creation date
7/17/2026 10:45:32 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
1600 - Food Program
File Section
COMPLIANCE INFO
RECORD_ID
PR0540437
PE
1695 - TEMPORARY EVENT
FACILITY_ID
FA0023108
FACILITY_NAME
RED, WHITE & BREW WINE & BEERFEST
STREET_NUMBER
133
Direction
N
STREET_NAME
GRANT
STREET_TYPE
AVE
City
MANTECA
Zip
95336
CURRENT_STATUS
Active, exempt from billing
QC Status
Approved
Scanner
SJGOV\tchampion
Supplemental fields
Site Address
133 N GRANT AVE MANTECA 95336
Tags
EHD - Public
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1. <br />2. <br />Address'. <br />i <br />3. <br />4. <br />5.I <br />Q <br />6. <br />7.hot and cold holding of potentially hazardous <br />8. <br />9. <br />meats, tamales, cooked beans, rice, <br />TEMP EVENT APP <br />IPage ToF 11 <br />i <br />i. <br />I <br />i <br />l <br />I <br />EHD 18-02 <br />TH AltR <br /> Stemo & hotel trays <br />Q'Steam table & lids <br /> Other (specify) <br />hazardous food Include: <br />I <br />i i <br />c^\ab5itAb=bsi'i <br />i <br />I <br /> 1 Phone: - <br /> /Y\ t — <br />,g: (to protect my unpaged tod end tod-preparation areas from flies. <br />dust and the public) . ■ - mochfiv <br />□ a urn «» »a> w «*g MM «>«»•[ "'.“S t“«“S 5S* <br />areas from the public. <br />H Other (specify): d------~ <br />- - “• *“ - “"g“d <br />[^Approved bottled water. <br />(2^-site hose bib that is connected to a potable water source. <br /> Other (specify):------------------- -------------- --------— <br />Beetrtalty Is provided for my booth’s use: E<es □ No <br />, A. - - — — <br />135°F: <br /> Camp stove <br />[Rouble steamer <br /> Electric stove top <br />NOte: SX,Xto W products. <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />the festival coordinator three (3) weekspnor to this even . H ? I \Cj <br />The following Is Information about my organlzatlon/buslness: r ZVr ; <br />Name of organlzatlon/buslness: <br /> <br /> <br />Phnne- ) 7>Vb4|&4 Alternate: — <br />PhQne 5 -ns -ViP SpfM.dvU fi»v2A I Y2kJadoS <br />Listfood to^e sol^ento^ <br />Name of facility: <br />Address of facility:. I Lc—■ ■ > <br />I am providing a booth with the foliowin!
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