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TH <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />__Date(s): <br />2. <br />3. <br />4. <br />5. <br />6. <br />7. <br />8.measure the hot and cold holding of potentially hazardous <br />7. <br />meats, tamales, cooked beans, rice, <br />Page 7 of 11 TEMP EVENT APP <br />EHD 16-02 <br />10/13/09 <br />O Camp stove Stemo & hotel trays <br /> Double steamer ETSteam table & lids <br /> Electric stove top Other (specify) <br />Note: Examples of potentially hazardous food include: <br />vegetables, potato salad, eggs, and dairy products. <br />Note: The only operations not required to provide enclosed booths <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 />are those which sell beverages from <br />LTa 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 />are^from^ie pubflcand Sm00,h W00d are accePtable) and constructed to separate food and food preparation <br /> Other (specify):_______________________________ <br />Electricity is provided for my booth’s use: Yes No <br />I am providing an accurate probe thermometerjo i---------- - <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 />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 />1 Name of Event: V) P .Date(s): ~~ <br />The following is information about my organization/business. <br />Name of organization/business: <br />/Otto AO Htu y <br />! Alternate: (^^j ' */~l I 7— <br />Address: t <br />Phone: (Z.^) ^55 Alternate. (Z^) <br />List food to be sold or given to the public. T/P^A^/^S tS zF <br />I am providing food that is NOT prepared at home: 0”Yes No <br />All food Is prepared «p-site or Is from approved commercial facilities 0^es No <br />Name of facility: Phone: CZM <br />Address of facility:....^ y <br />dust a^thep ubhc)Oth fo,lowin9: (to pro,ect my unpackaged food and food-preparation areas from flies,