Laserfiche WebLink
1; <br /> 1 <br /> l <br /> TEMPORARY roOD VENDOR'S APPLICATION � <br /> F Y <br /> G <br /> All food vendors (both for profit and non-profit)are required to return a signed and completed copy of this checklist to t _ <br /> the festival coordinator three(3)weeks prior to this event. <br /> 1. 1.Name of Event: Mountain House Restaurant Night Date(s): 4/14/16 <br /> E <br /> 2. The following is information about my organization/business: <br /> g a Food Truck Green Papaya Name of organ P Y <br /> Address: 10150 Ornella Lane, Stockton, Ca 95212 <br /> s <br /> i - <br /> Phone: ( 209 )981-8733 Alternate: ( ) <br /> - I <br /> 3. List food to be sold or given to the public: Pad Thai, Papaya Salad, Fried Rice, Lao Sausage, Thai Tea <br /> 4. 1 am providing food that is NOT prepared at home:❑Yes U No <br /> All food is prepared on-site or is from approved commercial facilities: ®Yes❑No t <br /> Name of facility: prepared on site inside trailer kitchen Phone:L <br /> Address of facility: Green Papaya Food Truck <br /> 5. 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 /> i <br /> ❑A 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 (cona-ete, <br /> asphalt, clean tarps and smooth wood are acceptable) and constructed to separate food and food preparation <br /> areas from the public. } <br /> B Other(specify): Green Papaya Food Truck enclosed trailer <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 /> 6- Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods: } <br /> 5 $ <br /> 3 <br /> El-Approved bottled water. <br /> ❑On-site hose bib that is connected to a potable water source. n <br /> [j Other(specify): Fresh water from trailer <br /> N <br /> 7. Electricity is provided for my booth's use: ®Yes❑ No ; <br /> 8. 1 am providing an accurate probe thermometer to measure the hot and cold holding of potentially hazardous <br /> foods during all times of booth operation: ©Yes❑No <br /> 3 <br /> 9. 1 am providing the following hot temperature control for the hot holding of all potentially hazardous foods above <br /> 135"F: $ I <br /> ❑Camp stove ❑Sterna&hotel trays <br /> 3 <br /> ❑Double steamer ❑Steam table&lids <br /> ®-Electric stove top ❑Other(specify) f <br /> Note: Examples of potentially hazardous food include: meats, tamales, cooked beans, rice, } <br /> vegetables,potato salad, eggs,and dairy products. <br /> ( <br /> EHD 16-02 Pago 7 of 11 TEMP EVENT APP <br /> 7114115 <br /> a <br />