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5 r <br /> TEMPORARY FOOD VENOR'S APPLICATION <br /> All food vendors(both for pro are ern a sinned and compleW copy of edcllst to <br /> the k*Oval coordinator __ M- . <br /> i. i.Name of went: <br /> Downtown Tracy Farmers Market Saturdays Year Round <br /> . <br /> 2 The following is informaliiorr about1y orgarirad Sigel <br /> tt � ti <br /> Name of or ganirsationlbusiness <br /> Address: ks- - <br /> Phone: � J„' ti ? 4�0 r Alternate: ( � <br /> 3. List food to be sold orgrren to tnepublia CM_ tfA` �Iaiak a—[ J'KS <br /> 4. 1 am providing food that is NOT prepared at home:95 Yes❑No •1 <br /> All food is prepared site or is from approved commercial feoNities; (�Yes El No <br /> Name of fxi ity 331-MOW LA 7 l 1"�� <br /> Address <br /> 5, 1 sill pWdirg a booth with the following-(to protect my unpackaged food and load-preparation areas from ties, <br /> dustand ttre pubiiC) <br /> 0 A boohf►with walls and ceiling oonshu&W of either wood, canvas. plastic, similar tnVferiel and fine mesh fly <br /> Weeping. Completely encasing open food areas It will also have a srtxzth and cleanable tlovr (00=ete, <br /> asphalt, dean tarps and smooth wood ace accaplbble)and oonsbircted to separate food and flood preparation <br /> areas from rite putAC. r- J <br /> lM�rt�fo_ 4 Avis Q 0►� d CQ �Y�1lLT � <br /> Note: The only operabons not required to provide enclosed booths are those which sell beverages from <br /> approved dispenses,or prepackaged foods from approved sources. <br /> a. Approved water for drinking, utensil and hand washing will be provided in my soots bythe following melhads: <br /> Approved bottled water <br /> ❑onasite hose bib that is oonnected ba potable valet source. <br /> other(WcOy): V3 — <br /> 7� Eleeftity Is provided for my boottfs use: [I Yes{] No <br /> a. 1 am providing an accurate probe thennomeMer to M F 0is hot and cold holding of potentially haa*rdous <br /> foods during all titres d Operation.opon.❑ Yes No if/ <br /> g. 1 an providing the fatlowhg hot temperature Control liar the hot holding of al potrendWsy h Jamdous roods above <br /> 43VF: <br /> ❑Camp siove ❑Stemo&hotel bays <br /> ❑Double steamer C)Steam table&lids <br /> []Eledhic stove top CM Other(specify) WJA <br /> No%: Ets mplez of poftabaly haUldous food indude- <br /> ve"bles,pow salad.stilts,artd dam y praducta. meats, larnalas, tooted boons, rice, <br /> .r:kJ+Q1N60 P�ye 7 of 41 TFJiP <br /> rw4a Art! <br />