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Date(s): <br />1. <br />2. <br />Address: <br />Phone: <br />3. <br />4. <br />5. <br />6. <br />7. <br />the hot and cold holding of potentially hazardous <br />8. <br />9. <br />TEMP EVENT APPPage 7 of 11 <br />EHD 16-02 <br />8/1/14 <br /> Sterno & hotel trays <br /> Steam table & lids <br /> Other (specify) <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />All food vendors (both for profit and non-profit) are required to return a signed and completed copy of this checklist to <br />the festival coordinator three (3) weeks prior to this event <br />t?- <br /> Other (specify);... ——------------------------- <br />Electricity is provided for my booth's use: M Yes No <br />I am providing an accurate probe thermometer to measure <br />foods during all times of booth operation: M Yes U No <br />I am providing the following hot temperature control for the hot hoiding of all potentially hazardous foods above <br />135°F: <br />^3 Camp stove <br />'Q1 Double steamer <br /> Electric stove top <br />Note: Examples of potentially hazardous food include: <br />vegetables, potato salad, eggs, and dairy products. <br />All food is prepared <br /> <br />Name of facility: ~—-t-f <br />Address of facility: 7->’' y"iffejy <br />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 />>ri A hnoth with walls and ceiling constructed of either wood, canvas, plastic, similar material and fine mesh fly <br />areas from the public. <br />meats, tamales, cooked Deans, rice, <br /> Other (specify): ,—------- ------------------------------- <br />Note: The only operations not required to provide 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 />Approved bottled water. <br />'Xj On-site hose bib that is connected to a potable water source. <br />1. Name of Event: <br />The following is information about my organization/business: <br /> Name of organization/business;------ ftrkp[ord Moat and -----—-----------— <br /> <br /> Alternate: <br /> <br />List food to be sold or given to the public: <br />I am providing food that is NOT prepared at home:^ Yes No <br />or isrfrom approved commercial facilities: QfYes No <br />C. <br />- - a <2 —