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TEMPORARY FWD VENDOR'S APPLICATION <br /> All food vendors(bw.h for profit and non-profit)are required to retum a signed and completed copy of this checklist to <br /> the fcstivat caordinalor three (3)weeks prior to this event. Saturdays <br /> 1.Name of Eyent-. Downtown Tracy Farmers Markel Date(s): Year Round <br /> 2_ The following is information about my crganizabonlbuslness: <br /> Name of organizat,onlbusiness: Bunbac.com Inc <br /> Address: 34755 Ardenwood Terrace, Fremont. CA 94555 <br /> Phone: (530 ) 6 Altemato: <br /> 3. List load to be sold or given to the pubic Prepackaged Steam buns <br /> 4. 1 am providing food that is Q prepared at home_ V Yes ❑ No <br /> All food Is prepared on-site or is from approved commercial facilities: ®Yes ❑ No <br /> Name of facility. Bunbao.com Inc Phone: <br /> Address of fadldy:34755 Ardenwood Terrace, Fremont, CA 94555 <br /> 5. 1 am providir►g a booth with the following: (to prntacl my unpackaged food and food-preparation areas from flies, <br /> dust and the public) <br /> ❑A booth with walls and calling constructed of either wood, canvas. plastic. similar material and fine mesh fly <br /> screening, completely enclosing open food areas it win also have a smooth and daanable ftoor (concrete, <br /> asphalt, clean tarps and smooth wood are acceptabie) and constructed to separate food and food preparation <br /> are"from the public— <br /> Other(spa) Prepackaged food <br /> Note: The only operu5ons not required to provide enclosed booths are those which sell beverages from <br /> approved dispensers, or prepackaged foods from approved sources. <br /> 6. Approved vrater for dnnWg.utensil and hand washing will be provided in my booth by the f0l1mving methods: <br /> ®Approved botJad water. <br /> ❑ On-site hose bib that Is connected to a potable crater source. <br /> ❑Other(specify). �.. _. <br /> 7. Electricity is provided for my booth's use, ❑ Yes❑ No <br /> 8. 1 am providing an accurate probe thermomator to measure the hot and cold holding of potentially hazardous <br /> foods during all times of booth operations:N Yes ❑No <br /> 9. I am priy,riding the folloynng hot tamperaturo control for the hot holding of ail potentially hazardous foods above <br /> 135'F: <br /> ❑Camp strove N/A []Stemo a.hotel trays <br /> ❑Double steamer ❑ Steam table &lids <br /> ❑ Dectic stove top ❑ Other(specfy) <br /> Note: Examples of potentlalty hazardous food include: meats, tamales, cooked banns, rice, <br /> vegetables, potato sated,eggs, and dairy products. <br /> FJ+D 16 G] F'a�o 7 rf f 5 TF UP LVEN'T APP <br />