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Date(s): <br />c <br />ter for drinking, utensil and hand washing will be provided in my booth by the following r <br />bottled water. <br />se bib that is connected to a potable water source. <br />all <br />>14 <br />r & <br />ecify):_---------------------------------------------------------------------------------------------------------- <br />xily operations not required to provide enclosed booths are those which sell bevei <br />ved dispensers, or prepackaged foods from approved sources. <br />VxA x- 4^0 ----”” j zk —Z <br />)(/ / K \ <br />Alternate: ( ------------ <br />\ -f * \z <br />... <br />Event: <br />dfy):________________ <br />rovided for my booth’s use: <br />3 aun«aCCUra#tL^?e thermor2®Jer to measure the hot and cold holding of r^rRj <br />I all times of booth operation:{5 Yes No <br />I the following hot temperature control for the hot holdino Of All nntontiallw <br />(Yes0No <br />I ail times of booth operation: J5 Yes N <br />TEMPORARY FOWM <br /><bot^ for prom and non-prom) are <br />te information about my organization/business. <br />■*9an*zationfousiness: / <br />-Q(O.S <br />- <br />> be sold or given to the public: ^~| , Z jryv <br />Hng food tAat is NOT prepared at home:® Yes UNo <br />prepared on-site or is from approved commerdalJacHities: <br />|^> VsA\ n\eZflAg — p------ - i- <br />mv unoackaqed food and food-preparation areas f <br />Yes ONo <br />Phone: ‘dsty: <br />ing a booth with the following: (to protect my unpackaged food an <br />the public) <br />with walls and ceiling constructed of either wood, canvas, plastic, similar material and fine <br />xxnptetely enclosing open food areas. It will also have a smooth and cleanable floor <br />an tarps and smooth wood are acceptable) and constructed to separate food and food pi <br />he public.