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TEMPORARY FOOD VENDOR'S APPLICATION <br /> M food vendors(both for prord and non-profit)are required to return a signed and completed copy of this checklist to <br /> the festival coordinator three(3)weeks prkx to this event <br /> 1, 1.Name of Everts Downtown Tracy Farmers Market Saturdays <br /> Date(s1 Year-Round2, The following Is Information abort my cxganimbonlbusiness: <br /> Name of organ izatforubuslness: Snowie NorCa) <br /> ,e,d : 94 W. Ameno Lane Mountain House, CA 95391 <br /> Phone: (888 )476-6943 Altarnate: ( ) <br /> 3 List food to be sold or given to the pubbc: Shavod Ice <br /> 4. 1 am providing food that is HOT prepared at home: JZ Yes❑ No <br /> All food is preparod on-site or Is from approved Commercial faclrrties: ❑ Yes❑ No <br /> Name of facillity: Tracy Storage Phone: f 2091 835 -3000 <br /> Address of facafty 385 Enterprile P1. Tra 04 <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 /> tN A booth with walls and coiling constructed of either wood, canvas, plastic, similar material and fine mesh fly <br /> scFantng, Completely anciosing open food areas. It will also have a smooth and cleanable ftaor (concrete, <br /> asphalt, clean turps and smooth wood faro acceptable) and construc3ed to separate food and food preparatKm <br /> areas from the public. <br /> ❑��(slmfy)' S /.-A ` r nF'�' 2 � ,r�' <br /> Note: The only operations not required to provide enclosed booths are those which sail beverages from <br /> approved dispensers, or prepackaged foods from approved sources_ <br /> 6, Approved water for drinking, utensil and hand washing wit be provided in my booth by the following methods- <br /> ®Approved bottled water. <br /> ❑On-site hose bib that is connected to a potable water source. <br /> ❑Other(specify): <br /> 7. Electricity is provided for my booth's use:❑ Yes❑No <br /> B. I am providing an accurate probe thermometer to measure the hot and cold holding of potentially hazardous <br /> foods during all times of booth operation: N Yes❑ No <br /> 9. 1 am providing the following hall temperature control for the hot holding of all potentially hazardous fonds above <br /> 135'F: <br /> ❑Camp stove N/A ❑Steano a hotel trays <br /> ❑ Double steamer ❑Stearn table&rids <br /> ❑ Electric stave top ❑Other(specify) <br /> Note- Examples of potentially hazardous food Include: meats, tamales, cooked beans, rice, <br /> vegetables,potato salad, eggs,and dairy product& <br /> EHD 1"2 Faye 7 of 1 i TF14P EVENT APP <br /> oarolrle <br />