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TEMPORARY FOOD VENDOR'S APPLICATION All food vendors (both for profit and non-profit) are required to return asigned and completed copy of this checklist to <br /> the festival coordinator three(3)weeks prior to this event. <br /> � 1Nome�Evont� ~� ������ � Da�(o)� <br /> �, <br /> 2. The following is information about myorgan � <br /> Name of <br /> Address: <br /> Phone.- Alternate: ( ) <br /> 3. List food to be sold or given to the public: I> <br /> ' ^ \ <br /> 4 /em providing food that is NOT prepared at:hom mElNo <br /> All hood io prepared on-site oris from approved commercial facilities: []Yea 0 No <br /> Name nffacility: Phone: <br /> Address of <br /> 5 }am providing a booth with the following: (to protect myunpacka0ed food and food-preparation areas from flies, <br /> dust and the public) <br /> /A booth with walls and ceiling constructed of either wood, canvas, plastic, similar material and fine mesh fly <br /> Ireenx/'y, completely enclosing open food areas. It will also have a smooth and cleanable Door (concrete, <br /> ,phalt, clean tarps and smooth wood are acceptable) and constructed to separate food and food preparation <br /> ereanhnm the Public. <br /> Fl Other,(speoUy).- <br /> Note: The only operations not required to provide enclosed booths are those which ye|| beverages from <br /> approved dispensers, or prepackaged foods from approved sources. <br /> G. Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods: <br /> appcmed bottled water. <br /> LJOn-site hose bib that ia connected Uoa potable water,source. <br /> Other(specify)" <br /> /, Electricity is provided for my booth's use: 0 Yes ANo <br /> 8, | am providing an accurate probe 1her measure the hot and cold holding nfpotentially hazardous <br /> foods during all times nf booth operation:81 YesF] No <br /> Q. 1 am providing the following hot temperature control for the hot holding of all potentially hazardous foods above <br /> J� 135^F� <br /> � l\ <br /> Camp stove FlStemo&hotel trays <br /> LJ Double steamer [l Steam table&|ids <br /> L] Electric stove top Fl Other(apecify) <br /> Note: Examples of potentially hazardous food include: meats, taona|ew, cooked beans, rice, <br /> vegetables, potato salad,eggs,and dairy products. <br />