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i <br />FOOD VENDOR PERMIT APPLICATION Page 2 <br />10. <br />fee chests <br />I am providing the following items within my booth for the sanitary cleaning of food-preparation utensils:11. <br />12. <br />13. <br />14.Completed by:. <br />10 X 10 ft Booth <br />No Smoking Sign <br />Paper Hand Towels <br />Propane Tank <br />Soap and Water Bleach and Water <br />Fire ExtinguisherQ <br />Ice Cooler <br />vendors@SanJoaquinAsparagusFestival.net • 916-370-3647 phone • 209-234-1780 faxPage 2/2 Rev 07/28/2017 <br />□ Refrigerated truck <br />□ Other (specify): <br />[^Refrigerator <br />□ Ice bath and tubs <br />Garbage <br />Can <br />Must be on <br />Concrete, Asphalt, <br />Plywood or a Tarp <br />Your hot & cold food temperatures will be monitored. Your hand washing and sanitation processes will <br />be checked. PLEASE meet the required standards as addressed herein. <br />I am providing the following cold temperature control for the cold holding of potentially hazardous foods <br />below 45° F: <br />Stemo w/Chaffing <br />Dish <br />5 Gal Hand Wash <br />Waste Water Container <br />Extra <br />Water <br />2-1/2 Gal. <br />Hand Wash Water <br />_____I___ ___ <br />Health Permit <br />IMPORTANT <br />All food vendor booths are subject to inspection. Please make yourself a copy of this application in preparation for this <br />event. A copy of this checklist must be in the booth at all hours of preparation and operation. <br />Return original to festival coordinatontwo months prior to this event. <br />I am providing the following for adequate hand washing facilities, but separate from utensil washing <br />within my booth: <br />JZfwater supply dispenser (e.g. 5-20 gallons, Igloo or Coleman container with spigot). <br />[2] One separate tub (bucket or basin) for the collection of rinse/waste water. <br />[Tfpaper towels and pump-style soap container. <br />□ Three compartment sink. <br />[Cf'fwo deep tubs (basins 6-8 inches minimum), one for soapy water, the other for rinse and bleach solution. <br />□/detergent, bleach and water (one cap full per gallon of water). <br />I Bleach <br />I Propane Stove <br />Extra Ice Bags must be stored off <br />of the ground! <br />Food Containers must be stored <br />off the floor! <br />SignaturefTitle <br />Name^of responsible persons to be present in booth during all hours of operation: