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Date(s): 2. <br />3. <br />4. <br />5. <br />6. <br />ied to a potable water source. <br />the hot and cold holding of potentially hazardous <br />9. <br />cooked beans, rice, <br />Page 7 of 11 <br />TEMP EVENT APP <br />EHD 1 M2 <br />OB/OV1S <br />Name of organizaUon/busines^: <br />Address: ( <br />Phone: <br />List food to be sold or given to the public: $> LA <br /> No <br />•mntei <br />s^^No <br />I—I Stemo & hotel trays <br />Steam table & lids <br />JXothor (8peoify) <br />potentially hazardous food include: meats, tamales, <br />All food Is prepared <br />Name of facility: ]_______ <br />Address of facility: <br />I am providing a L__", <br />dust and the public) <br />pfaafc, sta||„ matertel and „„„ mesh <br />XIXX"’'' 5™'h W°°'1 ” aC“PBbte> « <br />'^°'be'<,P9ciM: <br />N°‘s' •*fch se' ■>“erafles • <br />X <br /> On-site hose bib that is connect. <br /> Other (specify): <br />7. Electricity is provided for my booth’s <br />8. <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />the festival coordinator three^S) Xksp'rioS Ss event6"110 3 Si9ned and comPleted <»Py of this checklist to <br />1. IN.m.ore.antJ^VfQUb/ UV <br />The following is information about my organization/business: ' VS 1*7 lu <br />i ganizauon/Dusine^: <br /> <br /> <br />' ———--------------Alternate: ( ) <br />use: Yes <br />. »»tot tOTPerato lte hot holdlng potsnMy <br />d Camp stove <br />Q Double steamer <br /> Electric stove top <br />Note: Examples of <br />vegetables, potato salad, eggs, and dairy products? <br />I am providing food that is NOT prepared at home^Yes No <br />d Me or^m approved oomnkmiai facilitiesXYes □ No <br />1= w». the (to protM my unpackaged frod and aiMs Bte8 <br />constructed of either wood, c------- • • <br />are acceptable) and constructed to