COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

TEMPORARY FOOD VENDOR’S APPLICATION Date(s): 1. 2. Address: Phone: 3. 4. 5. Other (specify): 6.Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods: 0 Approved bottled water. On-site hose bib that is connected to a potable water source. Other (specify): Electricity is provided for my booth's use: Yes 0 No7. 8. 9. meats, tamales, cooked beans, rice, Page 7 of 11 TEMP EVENT APPEHD 16-02 7/14/15 Note: The only operations not required to provide enclosed booths are those which sell beverages from approved dispensers, or prepackaged foods from approved sources. I am providing a booth with the following: (to protect my unpackaged food and food-preparation areas from flies, dust and the public) Camp stove Double steamer Electric stove top 0 Sterno & hotel trays Steam table & lids Other (specify) O 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. Note: Examples of potentially hazardous food include: vegetables, potato salad, eggs, and dairy products. I am providing the following hot temperature control for the hot holding of all potentially hazardous foods above 135°F: I am providing an accurate probe thermometer to measure the hot and cold holding of potentially hazardous foods during all times of booth operation: El Yes No 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. 1. Name of Event: The following is information about my organization/business: Name of organization/business: (ft) ft A Alternate: ( ) List food to be sold or given to the public: . Ao7^72^ I am providing food that is NOT prepared at home:0 Yes No All food is prepared on-site or is from approved commercial facilities: Yes No Name of facility: Phone: (j?^) ^<37^^57^ Address of facility: 7/3/)) <$7'> 77?77z\77^7/7 (7?