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are required to return a signed and completed copy of this checklist to <br />1. <br /> Date(s): Sat, 6/7 - Sun 6/8/2025 <br />2. <br />Address: <br />Phone:( 510 ) <br />3. <br />4. <br />993-8391 <br />5. <br />6. <br />7. <br />8.the hot and cold holding of potentially hazardous <br />9. <br />meats, tamales, cooked beans, rice, <br /> Camp stove <br /> Double steamer <br /> Electric stove top <br />are those which sell beverages from <br />Alternate: ( ) <br />List food to be sold or given to the public: Pineapple Whips and Pineapple Floats <br /> On-site hose bib that is connected to a potable water source. <br /> Other (specify):___________________________________ <br /> Sterno & hotel trays <br /> Steam table & lids <br />KI Other (specify) .. u .. o r , z No Hot Food Served <br />Note: Examples of potentially hazardous food include: <br />vegetables, potato salad, eggs, and dairy products. <br />COMPLETE BOTH SIDES AND RETURN WITH EXHIBITOR AGREEMENT <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />All food vendors (both for profit and non-profit)^, •’ <br />the festival coordinator three (3) weeks prior to this event. <br />1. Name of Event: 2025 Crossroads Watermelon Street Faire <br />The following is information about my organization/business: <br />Name of organization/business: P'neappleWHIPS <br />5855 MacArthur Blvd, Oakland, CA 94605 <br />640-2617 <br />Electricity is provided for my booth’s use: ® Yes No <br />I am providing an accurate probe thermometer to measure <br />foods during all times of booth operation: KI Yes No <br />I am providing the following hot temperature control for the hot holding of all potentially hazardous foods above <br />*135 F. <br />Note: The only operations not required to provide enclosed booths <br />approved dispensers, or prepackaged foods from approved sources. <br />Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods: <br />KI Approved bottled water. <br />I am providing food that is NOT prepared at home: Yes No <br />All food is prepared on-site or is from approved commercial facilities: K Yes No <br />Name of facility PineappleWHIPS (Brick and Mortar) <br />•’------------------------------------------------------------------------Phone: (510 ) <br />Address of facility: 5855 MacArthur Blvd, Oakland, CA 94605 <br />1 ^sTand'the pubfc)1 With the f0"OWin9: (t° prOteCt my unPacka9ed food and food-preparation areas from flies, <br />Er^^nTromnSr S”""9 cons'luc,f1 of ei,her wood' “"^s, plastic, similar material and fine mesh fly <br />asS y a - °Pen.fOOd areaS 11 Wl11 also have a smooth and oleanable floor (concrete <br />areasi from“e public afe accep,able) and “"^ed to separate food and food preparation <br /> Other (specify):