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L/ \'-- TEMPORARY FOOD VENDOR'S APPLICATION All food vendors (both for profit and non-profit) are required to return a signed and compAutod oopy of this checklist to the festival coordriator throe(3)weeks prior to this event. Saturdays 1. 1.Name of Event: Downtown Tracy Farmers Market Dates), Year Round 2. The following is intormatlon abort my organlzation,'business_ Narne of organizatlon/business: Dubai Chocolate Address. 2600 Almanor Dr Tracy CA 95376 Phone- (209 )4&4 - 2167 Altemate: 3, last food to be sold or given to the publllw Dubai Chocolate, Turkish Delights 4. 1 am providing food that is NOT prepared at home:JZ Yes❑ No M food�r.prop2red on-site of Is from approved oommordal facilities: ❑ Yes❑ No Name of facility: Cl V - Phone:I I Address of faclUty: 5- 1 am providing a booth with the following: (to protect my unpackaged food acid food-preparation areas from Aes, dust and the public) ® A booth with wags and calling ccr*h)ctad of erther wood, canvas, plastic, similar material and fine mesh fly screening, completely enclosing opens food areas- It will also have a smooth and cleanable floor (concrete, asphalt, dean larps and srnoath wood are aweptable) and constructed to separate food and food preparation areas from the public.. ❑Other(speaf+), Note: The only operations not required to pmvlde enclosed nooths are those which sell beverages from approvers dispensers, or prepackaged foods from approved sources. 6. Approved water for drinking.utensl and hand washing WA be provided in my booth by the following methods: ®Approved bottled water. ❑ orv-sito hose b+b that is connected to a potable water source. ❑Other(spmfy): — 7. IElectriaty Ys provided for my booth's use- ❑Yes ❑No 8. l am providing an accurate probe thermometm to measures the hot and cold holding of potentially hazardous foods during all times of booth operation: ® Yes❑ No 9- 1 am providing the following hot temperature control for the hot holding of all potentially hazardous foods above 135T. ❑ Camp stove N/A ❑ Slemo&hotal trays ❑ Double steamer ❑ Steam table&lids ❑Flectric stove top ❑ Othe' (specif7l) Mote: Examples of potentially hazardous food Include: meats, famales. cooked beans, rice, vegetables, potato salad,eggs, and dairy products. EAU 1E-2 Page r of 11 TEN13 EVENT APP UY01'1'S