Laserfiche WebLink
1 <br />Date(s): <br />2. <br />3. <br />4. <br />5 <br />6. <br />7. <br />8. <br />include:meats, tamales, cooked beans, rice, <br />Page 7 of 11 TEMP EVENT APP <br />EHD 16-02 <br />10H3/09 <br />__ <br />&7J4 ^rr ) <br />fr^i^ppr^ed^ommereia^fadlities:^^res No <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />»»-< “ ■*— >« <br />1. Name of Event:5^ j f'.^£>'0 N1 3^ -S <br />The following is information about my organization/business: <br />Name of organization/business. <br />Address: ?b Sx>y-_______ <br />Phone: (^/6------^//' Alternate: <br />List food to be sold or given to the public: ( <br />I am providing food that is NOT prepared at home: WYes No <br />All food is prepared on-site or ig from approved commercial facifiti <br />Name of facility: <br />Address of facility: <br />dust andVthe p^bfc)^ f°"Owin9: (t0 protect unpackaged food and food-preparation areas from flies, <br />XXX are aCCePtab,e) and “H™ t0 Separate feOd “XXTn <br />Other (specify): X° J TgfiL <-€<2. <br />Note: The only operations not required to provide enclosed booths are those which sell beveraoes 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. . K <br />'S/other (specify): tOgt? <br />Electricity is provided for my booth's use’^fes No <br />”• “ ■" “'“*« <br />'.MtntM, M wwm,,. oonMIS,1»eh«haang«I.llpa.„MW hKaraou, M, .b«.. <br />O Camp stove Stemo & hotel trays <br /> Double steamer steam table & lids <br /> Electric stove top -Jg other (specify) GdJ, <br />Note: Examples of potentially hazardous food i.._:„. <br />vegetables, potato salad, eggs, and dairy products. <br />b5o