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TEMPORARY FOOD VENDOR'S APPLICATION
<br /> od vendofs (both for profit and ^on-orcfit a - to re:urrn a sic red and cornpletGd copy of this checklist to
<br /> h-'estival conrdi!�a'srt`._= 3' ..__ pttiort_ _ _ -'•
<br /> Na-re of Every Northern California Jazz Festival pa:,: _ 9/14/24
<br /> 2. The follo;v,ng is rr`.-manor. ab,:i..
<br /> Gim Belly
<br /> A,.; _- 25 Washington St Daly City, CA 94014
<br /> p•��•,_: (650)665-4055
<br /> _ cr _ . :_.. BBQ ribs,bbq chicken, grilled pork belly, garlic shrimp
<br /> am rev rJ no food t^a: is NOT at come 7 do
<br /> Ali foods oreoarec+ . on .al ore,e 1 c,)-nrier:ia; face:its. ✓ Y:; -
<br /> Na7-e cf fact;r;. _ Kitchens ah:' 408)816-7854
<br /> of fac,li;y:_-_ 25 Washington St Daly City, CA 94014
<br /> I ant, prov!ding a booth :•:ith the fo'lo,;:r g ;to p-o:act my unpackaged food and ford p-epa-atio-,areas fr:m fries
<br /> -t,,s! and,.:-;pub'q)
<br /> L__ A boo:', with ; 2(!S and ce;li-g COr3:"u:red of e{:her ':vccd, .�^e'25, plastic., similar materra; and fire mesh y
<br /> scree ,:na coripl:rely erc;os,nq ooer• rood a-=as. 1: . 1, a's o ra._ a sm o;, r.a cle: ,
<br /> `� arc -naal� `Ic ;cor.:reta
<br /> asphalt, clean tarps and srnocth wood a.r acceptabiej and ;o sepsmte,;ocd and food ;areparatien
<br /> �r
<br /> areas from:he public.
<br /> iJ Other ;spec;fyi:
<br /> Note: Tre or'y operations rot _qu,red to p•c��•ide ercicsed b:•oths are those ti�h ch sell beverages `corm
<br /> approved dispenses or preoa.kaged foods`rorn aporoved sc::rces
<br /> Aozroved'rrater for drip,:rg t::ens,l and na-..d h.'as^rrg v, ^ 'o= ry cOc:^ e o e
<br /> •I be ,:r.;i�..-d in cy t^„`o'. ,. g m mods:
<br /> App ed oo..sd 6r,atDr
<br /> On-site hose bif:t' at •s ccnnec:ed',o a o 'ab e .rater souse
<br /> Electricity is provided for my beoth's use Yes C No
<br /> 3 I ar, providing an accurate probe tit-ermometer to reasure the :-et and -ol:,y�rg c :a !a!;y haza-:cus
<br /> `_ods du,ing all times of boot., operation: 7 Yes [ No
<br /> ? 1 am crovid;ng :he fol.ov;-rg "o. .erperaf..re cor'rcl for the hold-9 'all pot=,:ia ly hazardous foods a^^;e
<br /> 1':.-F.
<br /> ca..,p mole
<br /> C o... stearer Stearr:able 3,I ds
<br /> ec!-:S`.ove tcp J Oyler is,:ec^V:
<br /> Note: Examples of potentially hazardous food include: meats, tamales, cooked beans, rice,
<br /> vegetables, potato salad, eggs, and dairy products.
<br /> i T=. _h-
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