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TEMPORARY FOOD VENDORS APPUC,ATION All food vendors(bottt for pfoft and non-prelil) arse ri:fquired to return a wgned and completed Copy of',is criaCktist to the festival+^•=dtratos three f3)vmeks prior to dais everst. I. 1.Name of Evert: r ii, t�Ylfti t�.. - bate,,sj: t �( j 2. Tree fallowing--,, inforrnaton abou'my organizzatcrubusness: Name of org—anizab mousiness: L,L�t^Ir:1 b_ i iy' Its I lirIlds Address- Phcr+e: {=5 10 �70 L4 - C(?e�,) _ t'il.err-ate; ?;-�[ 220 q 3_ Lst foc-d tc be sold W to the public: M I VI+ (x'l t-j i . 1 arr Vro'vid'ng food tha'.is NOT prepared at home: E Yes ❑ No All fooC is prepared ora-site,r i�5 f-orn approve commercial Facilities: Yens ❑ No Nam of acili^y Phori i Address of iaCiRty _ ( am provitL-ng a bow with the following: (to protect my uop aGge-d food and food-prepaTation arwS fron flies. dust and :he public) El A OxAh w'th walls and Oedlrsa constructed of either woad. canvas, plash", similar mater>iai and fine mesl fly sueenirrg, errs^,.;e:ely enclosing copeen food areas It will also have a smooth and (�eanable floor tccrrcrete, asp!talt, dean taps and snmoth wood we a e-p Ie,,% and coo st-ucted to sepa-ate cod and food pcecaration areas frorn the pub4c. ❑Other(soedte): Nott: The on'rr ooeratcnz, not required to pro.'ide enclosed t w-hs are triose whsi&, sett teveragzs rrom approved dispensers, or prepackaged foods fr-.m approved sources. 6. Approved water for utrikira, urtensil arm hand washing wdl be provided in my booths by the fNiowiN methods-, J'S Aporoved t)ott-,d water. ❑Cin-Site nose bila that is corsr+a^ted to a potable water source. F1 Cther 7. Electricity is provided for my booth's use: Z Yes❑No u. 9 am providiN an accurate probe therrncmtter to measure the hyt and cold hailing of potentlally hazardous foods during all times of booth operation: Zaye5 ®Nc 9. 1 arcs ix-C'ding the following not temperaI%wc Control for Vie ham", holdir-g o'all potentially I)anrdous foods above 135'F: ❑ camp!;Cove! ❑Sterno& hovel trays I❑ Citai+ble smarner Q Steam table&lids ❑ Ele tCWC suave top (specrFyj fifoto: Examoles of potont.ally h;=rdous food Inolude: moats, tar-,12105, CookOd beans, rice, vegetables,potato salad, eggs, and dairy products.