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TEMPORARY FOOD VENDOR'S APPLICATION <br /> All food vendors (both for profit and non-profit) are required to return a signed and completed copy of this checklist to <br /> the festival coordinator three(3)weeks prior to this event. <br /> Saturdays <br /> 1. 1_Namo of Event: Downtown Tracy Farmers Market oate{s}: Year Roland <br /> 2 The following is Information aboul my organtzabonlbuslness: <br /> Name of orfWizabonlbuslnt ss: Kais Fresh Beverages <br /> Address: 5921 E_ Pontiac Way, Fresno CA 93727 <br /> Phone: ( 559 ) 288-2814 Altemate. ( ) - <br /> 3 List food to be sold or plven to the public- Sugar Caine, Sugar Cane Juice, Boiled Corn <br /> 4. 1 am providing food that Is NQT prepared at home_ ®Yes ❑ No <br /> All food is pupated on-site or is from approved commercial faalities: EZ Yes ❑No <br /> Name of facility. Phone.-I-- 1 <br /> Addras4 of facility - <br /> 5_ 1 am providing a booth with the following: (to protect my unpackaged food and food-preparation areas from flies, <br /> dust and the publlc) <br /> ® A booth with walls and celling constructed of©dher wood, ockrtvas, plastic, slmllar material and fine mesh fly <br /> saeenir>g, completely enclosing open food areas. It will also have a smooth and cleanable floor (concrete, <br /> asphalt, clean tarps and smooth wood are acceptable) and constructed to separate food and food preparation <br /> areas from the public. <br /> ❑Other(specify): <br /> Note: The oNy operations not required to provide enclosed booths are those which sell beverages from <br /> approved dispensers, or prepackaged foods from approv©d sources. <br /> 6. Approved water for drinking,u:ansil and hand washing will be provided in my booth by the following methods: <br /> ®Approved bottled water. <br /> ❑ O"ite hose bib that Is connected to a potable water source <br /> ❑ Other(specify): <br /> 7, Electricity Is provided For my booth's Lme: ❑ Yes❑ No <br /> B. I am providing an accurato probe thermometer to measure the hot and oW hoidJng of potonfially hazardous <br /> foods during all times of booth operation: 0 Yes ❑ No <br /> 9 1 am providing the follmving hot ternperBture control for the hot holding of all potttntlally hazardous (Dods above <br /> 135'F: <br /> ❑ Camp stave NIA ❑5terno&hotel trays <br /> ❑ Doub4o stoamer ❑Steam table&rids <br /> ❑ Electric stove top ❑ Other(5pecify) <br /> Note: Examples of potontlally hazardous food Include: meats, tamales, cooked beans, rice, <br /> vegetables, potato salad, eggs,and dairy products. <br /> END 15-07 Pvv-'7 o1 41 t EUP EVENT App <br /> v,n n■ ' <br />