Laserfiche WebLink
Dats(s) <br />1. <br />2. <br />^361 <br />Address:) <br />3. <br />4. <br />I am providing5. <br />6. <br />7. <br />8. <br />9. <br />meats, tamales, cooked beans, rice, <br />Note: <br />TEMP EVENT APP <br />pagn 7 of 11 <br />EHD 18 02 <br />7H4,»S <br />of this checklist to <br />Alternate: ( <br />□ Stemo & hotel trays <br />□ Steam table & lids <br />® Other (specify) (JV <br />hazardous food include: <br />and dairy products. <br />use; O Yes'® No <br />unpackaged food and food-preparation areas from flies, <br />the hot and cold holding of potentially hazardous <br />which sell beverages from <br />□ Camp stove <br />□ Double steamer <br />□ Electric stove top <br />Examples of potentially <br />vegetables, potato salad, eggs, <br />temporary food vendor s appucation <br /> <br />asi”''/ <br />The following is information about my organizaUonflrusmess. <br />Name of organizaBon/business. P 72 <br /> <br /> <br />Phone: <5te> ) - <br />List food to be sold or given to the public: <br />All food is prepared on-site or is from pp phon0. <br /> <br />Name of facility: ------------- -------- <br /> <br />Address of facility:—--------------- -—— ~~ <br />I am providing a booth with the following: (to protect my <br />dust and the public) material and fine mesh fly <br />areas from the public. <br /> <br />□ Other (specify):------------- <br />Note: The only operations wired >0 <br />'^====^ <br />■^Approved bottled water. <br />O on-site hose bib that is connected to a polable water source. <br />□ Other (specify): - --------------------— <br />Electricity is provided for my booth s <br />I am providing an accurate probe thermonger to measure <br />—— <br />135“F: