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j <br /> TEMPORARY FOOD VENDOR'S APPLICATION <br /> III food vendors (bo'h for.- -`t a =1-orcfit'. a- reci eJ to return a slcr=� and completeu., copy of th!s checklist to <br /> "'-`P_stiva! co.-rdi'a•.c - -' P"io''.:`.tl;$ _.5�'. <br /> 'pan :�f Event: NCJF 2024 JAZZ FEST 09/14/2024 <br /> Th f,- g is tr'Crm ,n _ <br /> Narre c° FAIRY BITES & DELICACIES <br /> 560 KING DR DALY CITY CA 94015 <br /> _. 510 ) 967-3556 <br /> LUMPIAS-pOkK,CHICKEN,BEEF,VEGGIE,SPAM,SHRIMP&FISH <br /> L <br /> - APPETIZERS-CHICKEN STRIPS,SHRIMP POPCORNS,CHEESE STICKS,CALAMARI�• JUICES-MANGO&ISLAND FRUITS <br /> _ r <br /> ! art prc`. ::ng food t^?t is NOT crecareo at rvr .c <br /> rove-'.co nr,Fr::l2' f3ci tic_ X - <br /> ;G.. THE BAKERY _ 669 338-6344 <br /> 1849 LITTLE 0MTRET-SiAN JOSE CA 93125 - <br /> - I an,. prov ding a bocth,,ith 9 _ p c'e_. r,y L nns_ >oc p-apa: r� ° f':l o.IJ area:; porn .� <br /> ::,s* and:1-e public) <br /> A boot`, wi'h .,'al!s and ce..^g cc _ tec of ei.-er:vc^_:. sirni'ar rnateral and file mes e°Y <br /> comple:e!y erc'Os ng oae, ..cd a--as. I: .;;I a' - c ,:h arc cleanaoi 'Ic:;, ;;ircr to <br /> asphalt. clear. :arils and smoc'h wood arn: acceptant) anC C cnp9rate food and food Nrcparalicn <br /> areas from the public. <br /> 0:r-er ;scecafY;: <br /> Note: Tre on!y operations not _qulred to r'Cvide enciosD9 booths a those '+ih'ch smell bcw.r2Q=3 rJrl <br /> approved dispenses cr p,araskaged fJ•ods lom approved so,-roes v <br /> nc,p'^ved waterfor drink!ng, a:ens.1 and na-d r%as-ir7 I be provided i^ <br /> Approved bottled ;rater <br /> INSULATED 5GAL WATER DISPENSER WITH HANDS FREE SPIGOT <br /> WARM WATER BETWEEN 10OF-108F <br /> On-site hose Sib that's connes:ed tO a source ONE SEPARATE BUCKETS OR BASIN FOR THE COLLECTION OF WASTE <br /> WATER. (WASH,RINSE&SANITIZE <br /> LIQUID PUMP SOAP <br /> I AM PROVIDING A HAND WASH STATION. PAPER TOWELS AND COMPOST BIN <br /> Electricity is provided for my bco;n's use I,X Yes[ No <br /> 1 ar providing air accura'e ercte 'l'armo.rnver to r-.easure the rot ar - rc o t:aiiy `,aza : <br /> `cods duri-Ig all'I-Ies of bco'h operation: X Yes E No <br /> p I arr ^ro',Jt'ng ;he fo!'.w;ing t c. .er,'pe-at;.r= cor'roi'O.' the - <br /> 1 J 55•F. <br /> _� •.,��'�: stow WE ARE COOK UPON ORDER BOOTH. <br /> ❑Stearn`.a:le&fds <br /> '=a. s`'ove tCp _ vihpr r$NeC AJ <br /> dote: Examples of potentially hazardous food Include: meats, tamales, cooked beans, rice, <br /> vegetables, potato salad, eggs, and dairy products. <br /> _-- , T- <br />