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the festival coordinator three (3) weeks prior to this event. <br />i. <br />2. <br />Address: <br />)-------------------------— <br />3. <br />4. <br />1 <br />5. <br />6. <br />moats, tamales, cooked beans, rice,Note: <br />TEMP EVENT APPPag© 7 of 11EHD 16-02 <br />7/14Z15 <br /> Sterno & hotel trays <br /> Steam table & lids <br /> Other (specify) <br />7. <br />9. <br />■ ■ 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 /> On-site hose bib that is connected to a potable water source. <br /> Other (specify): -----------------------------------------------------—------------ ~~ <br />Electricity is provided for my booth's O No <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 above <br />135°F: <br />|~] Camp stove <br /> Double steamer <br /> Electric stove top <br />Examples of potentially hazardous food include: <br />vegetables, pateto salad, eggs, and dairy products. <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />All food vendors (both for profit and non-profit) ^ required to return a signed and completed copy of this checklist to <br />_ _ nrtje (3) pHvi tv ww GVCnt. <br /> 1 .Name of Event: CeAeWY^bate(S): <br />The following is information about my organ ization/business: <br /> Name of organizafion/business:---------------------------------------------\--------- 777^ A t \ a <br /> (pO\D -Vxj<yV>oc^ Uxne. <br />Phone: ------ Agnate: ( <br />List food to be sold or given to the public: — <br />I am providing food that is NOT prepared at homec^Yes □ No <br />All food is prepared on-site or is from approved commercial facilities: Yes No <br />Phone: L_. Name of facility: _____—-------------------------------- <br /> Address of facility: .......................—------------------- <br />1 am providing a booth with the following: (to protect my unpackaged food and food-preparation areas from flies, <br />dust and the public) <br />areas from the public. <br /> Other (specify):----------------------------------------------------------- ------ <br />Note: The only operations not required to provide enclosed booths