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TEMPORARY FOOD VENDOR'S APPLICATION All food vendors (both for profit and non-profit) am mWrad to return a signed and completed copy of this cherkhst to the festival coordinator three(3)weeks prior to this event. Saturdays 1, t.Name of went: Downtown Tracy Farmers Market Date(s3. Year Round 2 The following is information about my organizabw1b"ness, Name of organaalJoatuslness: Oaxacan Tamales Addrew 2761 Patterson Rd Suite 130 Riverbank, CA 95367 Phone- (209 )22a - 3217 - Alternate: ( } 3. Ust food to be said or given to the pubr= Tamales.Salsa - - 4. 1 am providing food that is NOT prepared at home:J] Yes❑ No All food Is prepared on-site or Is from approved cornmercia1 fablities-. ❑ Yes❑ No Name of faatltyr Oaxacan Tamales Phono: f } Address of fadllty 2761 Patterson Rd Suite 130 Riverbank, CA 95367 5. 1 am providing a booth with the following: (to protect my unpackaged food and food-preparation areas from flies, dust and the public) ® A booth with walls and calling constructed of either wood, canvas, plastic, similar material and fine mesh fly screening, completely enclosing open food areas. It will also have a smooth and cleanable floor (concrete, asphalt, clean tarps and smooth wood are acceptable) and constructed In separate food and food preparation areas from the public ❑ Other(specify); - - Note: The only operations not required to provide enclosed booths are those which sell beverages front approved dispensers, or prepackaged foods from approved sources. 6, Approved water(r drinking, uionsil and hand washing wl be provided in my booth by the following methodr ®Approved baWea water. ❑On-site hose bIb Mat is oonnacted to a potable water source. ❑Other(specify)- -- 7. Electricity Is provided for my booth's use: ❑Yes ❑ No 8. I am providing an accurate probe thermometer to measure 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 patentlally hazardous foods above 135'F- ® Camp stove ❑Sterno b hotel trays ❑ Double sleamer ❑Steam table&lids ❑ Electric stove top ❑Other(specify) Note: Examples of potentially hazardous food Include: meats, tamales, cooked beans, rice, vegetables, potato salad, eggs, and dairy products. EM]1$C7 Poge T cr 41 TEJ61P EYCNT APP