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TEMPORARY FOOD VENDOR'S APPLICATION <br /> AIi tood vendors (both for profit and noc-prom)aro raqulrod to re{um a signed and Lompleted copy of this chock isl to <br /> the fa5tivai coordunator three(3)weeks prlor to thas event. <br /> Saturdays <br /> t. 1.Namo of Event: Downtown Tracy Farmors Market pate(sy Year Round <br /> 2. Tho following is information about my organ+zationlbusxne5s: <br /> Alama of organ¢abor►businoss: Alison's Gourmet Brittle <br /> Address: 315 California Ave Manteca, CA 95336 <br /> Phone: (209 ) 40"035 Altnmam:{ 1 <br /> 3, list food to be sold or given to th©pubtic: Brittle <br /> 4. }am providing food that Is RIOT prepared tit home: W] You ❑ No <br /> All food is preparwd on-site er is from appcovod commercial facilities' ❑ Yes ❑ fro <br /> Name o!fao`ily. Cares Community Center Phore. <br /> AdCre'55 Cf f0;llt)',2701 yth St Ceres,CA 95307 <br /> 5 1 an pfovid:ng a broth with the fol'otring: (to proton my unpackaged rood and food-preparation areas from Nor., <br /> dust and the public) <br /> ❑ A booth with walls and ceiling constructed of either is.00d, canvas, plastic, 51milar material and fine mesh fly <br /> screening. cAmpletely enciosmi; open frod areas. ;t w01 also have a amoath and cleanable floor (concreto, <br /> asphalt_ c'.ean tarps and Smooth Lvood are acceptable) and constructed to separato food and food preparation <br /> a:t'35 from the p'Jb11c. <br /> 42 other±spcc&j): NIA Prepackaged Goods <br /> Nato: The only operations not required ifrom ao r�ed sources triorae which self beverages from <br /> approved dispensers, rf prepackaged foodspP <br /> 6. Approved water for drinking,u`,ersel and hand rrasheng VIA be provsded in my booth by the following methods; <br /> Approved battled 4vater, <br /> ❑ On-site hose bib that Is connectod to r,potable witer source. <br /> ❑other(specify)'. <br /> 7 Electricity Is provided for my booth's use: ❑Yes ❑ No <br /> B. I am providing an accutata probe thermometer to measure the hot and cold holding or potentially hazardous <br /> toods during all times of booth oPMWn: X Yes <br /> ❑ No <br /> g, 1 am providing the following hot temperature control for the W holding of poten'ially hazardous toads above <br /> 13:i F: <br /> r;,,amp stove N/A ❑Simla& hotel trays <br /> []Double steamer ❑ Steam table b lids <br /> �puler(specify) <br /> ❑Electric stove top any, rice, <br /> las at polentlaity hazardous food include: rszo3ts, tamales, cooked beans. <br /> Note: Exarnp 3, and dairy products. <br /> Vegetables,potato salad, egg <br /> TE%Q F'�FN r AP►' <br /> pp,n7cr11 <br /> F o la-07 <br />