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• TENA,1PORARY FOOD VENDOR'S APPLICATION <br /> All food vendors (both for profit and rec- stcr.eci and ofthis checklisf <br /> 2. <br /> CI <br /> Address: wo cc r-C, <br /> P Its <br /> List :3 sc;d r-o p:jt 0 CQ m65 '(C' `e,L-7 <br /> ! am prcv,diig food that is NOT creoarea at noi-L C//:s i= D <br /> All food f i is olepared to or s from ap--- - - -7� -C�/ <br /> `f Vo czg-foceyv <br /> k- gs4R�a- - -d- -0- -- - - <br /> t4a <br /> 9 <br /> 5 1 ann prov ding a booth-.vith the following. ;to protect My Ll.p2ckaged food ati:i foot;-p epa!afion areas from Pies <br /> I��s'. and the public) <br /> a <br /> S/Atuo'.'i with .;,alls and ce:!ng constructed of ei',er vvood, canvas, plan: :-atena 1 -,,r4 f,re mesh f'y <br /> completely er-.!osing oper, food a,aas. 1, 9's-) �I ;lo--- <br /> aspla'! c'-2ar :asps and smooth wood are acceptat'=-', and'0--d �-epa'ait!cn <br /> areas f,---r p-blic. <br /> --- <br /> Note: The only operations not t-- c--'zsed booths a-- <br /> approved ciisper.ws approved so.rces <br /> g be provided in -C- <br /> oo-!eJ viater. <br /> f�Cn-site rose )ib that is connec-ec a Pota!;a.-vater source <br /> Other-specify): <br /> Elect- 7,ty is provided for my booth's use,CXYes L7,No <br /> B. I a,-,i providrig air accurate L-ct-e 'l-=-momep e to "aza ly t cus <br /> rneasure the ;�ot and cold `oldirg of poter t;al <br /> foods CiL.71-10 all tines of booth operation.i;^: =-s E No <br /> 9 1 am the f:Wow:ng hot =r rie-at.,-e corrcl for the of holding c4F all pote-iJa Iv 17a7a-dc-us foods F.'cc,e <br /> 135"F <br /> stEar-er ❑Stearn ds <br /> tcP J ot"i-Sr'.-Spec-'J) <br /> Note: Examples of potentially hazardous food include: meats, tamales, cooked beans, rice, <br /> vegetables, potato salad, eggs,and dairy products. <br /> T- <br />