Laserfiche WebLink
TEMPORARY FOOD VENDOR’S APPLICATION <br />1. <br />2. <br />Address- <br />Phone. <br />List food to be sold or given to the public:3. <br />4. <br />5. <br />Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods:6. <br /> Approved bottled water. <br />7. <br />8. <br />9. <br />135°F: <br />meats, tamales, cooked beans, rice, <br />TEMP EVENT APPPage 7 of 11EHD 16-02 <br />7/14/15 <br /> Sterno & hotel trays <br /> Steam table & lids <br /> Other (specify) <br /> Camp stove <br /> Double steamer <br />W Electric stove top <br />Note: Examples of potentially hazardous food include: <br />vegetables, potato salad, eggs, and dairy products. <br />I am providing an accurate probe thermometer to measure the hot and cold holding of potentially hazardous <br />foods during all times of booth operation: Yes No <br />I am providing the following hot temperature control for the hot holding of all potentially hazardous foods_a^<dve <br /> On-site hose bib that is connected to a potable water source. <br />Mother (specify):. kitchen on <i4-e <br />Electricity is provided for my booth's use: &/Yes No <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 />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 ( .. i — <br />I.Name of Event: Date(s). ' <br />The following is information about my organization/business: <br />Name of organization/business: ■krS ■■fe.SQ h CdikYAvVy _____ <br />25GJ ____________ <br />( 2^>)) 4./ ^7 " 5Z-O 3 Alternate: ( O <br />lift / rftaflcel <br />I am providing food that is NOT prepared at home' ^YesulNo , <br />All food is prepared on-site or is from^approved commercial facilities: ® <br />Name of facility Sag fMtj <br />Address of facility, r ------------------ <br /> A booth with walls and ceiling constructed of either wood, canvas, plastic, similar material and fine mesh fly <br />screening, completely enclosing open food areas. It will also have a smooth and cleanable floor (concrete, <br />asphalt, clean tarps and smooth wood are acceptable) and constructed to separate food and food preparation <br />areas from the public. <br />pother (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.