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1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8. <br />the hot and cold holding of potentially hazardous <br />9. <br />Page 7 of 11 TEMP EVENT APP <br />EHD 16-02 <br />08/01/16 <br /> Camp stove <br /> Double steamer <br /> Electric stove top <br />Note: Examples of potentially hazardous <br />vegetables, potato salad, eggs, and dairy products. <br /> Sterno & hotel trays <br /> Steam table & lids <br />ly hazardous food include: meats, tamales, cooked beans, rice, <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />All food vendors (both for profit and non-profit) <br />I am providing food that is NOT prepared at home: M Yes No <br />Address of facility: <br />' ^s^andiSe pubb°c)h (t0 my unPacka9ed food and food-preparation areas from flies, <br />^nbiOnOat\2hnS!vTndHCn±9 “h5™ of either wood. ^nvas, plastic, similar material and fine mesh fly <br />9; cor"plete|y enclosing open food areas. It will also have a smooth and cleanable floor (concrete areas JomX p^bNc3 T aCCeptable) and constructed to separate food and food pfeparation <br />pother (specify). .-CO \^/ <br />N°te: Innrnvld riicnT*10"5 t0 pr°vide enclosed booths are those which sell beverages from <br />approved dispensers, or prepackaged foods from approved sources. <br />Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods: <br />^(^pproved bottled water. <br /> On-site hose bib that is connected to a potable water source. <br /> Other (specify): <br />Electricity is provided for my booth’s use^Yes □ No <br />I am providing an accurate probe thermometer to measure <br />foods during all times of booth operation: Ye^gj No <br />1 the following hot temperature control for the hot holding of all potentially hazardous foods above <br />the festival coordinator three (3) weeks p^o? to S Xen^t0 3 C°mpleted C°Py °f ‘hiS CheckNst to <br />f.Name of Event: _IAN 60kA\ IQ) <br />The following is information about my organization/business: ' <br />Name of organization/business: <br />Address: 2^1^ M jvJ ( knw . <br />List food to be sold or given to the public: 2 *