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9/12/24, 6:07 PM <br />IMG_45O3.jpeg <br />2. <br />5. <br />iges from <br />1/1httpsV/fnal.googte.com/mail/u/0^inbox/KtbxLzGStWJRTK3BmcfdSvhflkrVhflrKg?projector=1 <br />F-Ji <br />'.org/ehd <br />•»evENT/‘' <br />I <br />I <br />i <br />■ <br />z <br />8. <br />cx.'isl to <br />lUon areas from fies. <br />ar m’^naJand f*08 rnesn f!- <br />floor (concreie. <br />1 food preparation <br />U» festMal coordinator three (3) weeks prior to (Ns evwit. <br />1. <br />Environmental Health Department <br />. J - • ' '' ' - •■ •■• •________L— <br />!«Srat» JSoMmMWta Io imam «» hot and cold holding of potentially ha:.: r . <br />timnIofbooftoperaUon: No__ .hi_J| <br />Vlec?V^e <br />^oQanlzalWVbusin.aa: ;g..' <br />Alternate; ( )------------- <br />K (Wo. <br />6. <br />ExamiH^ ^ potentially htunfout food include: meats, temelee, cooked be? <br />vta^l&di W. W Pro*"* <br />' '' ' . . <br />Caflfomladsaoei T 209466-34201 F 2094644)138 | WWW.^; <br /> / i------------- ----- <br />a ns, rice, <br />i ti® "W <br />id <br />3 <br />f em providing a boih wittTlte fbBoitfng: (Io protect my unpackaged food and food-p <br />onrf ffw* mihSc) . <br />II* IV) ’ r , , <br />,S^“«n^^lSns open food nrooo. «?«l also haya a smooth.^ <br />areas from fiaptiBa^ <br /> Olterfapeo^^--------------------------------------------------- <br />Noto- TT» onW ^raitons oof required to provkte enclosed bo <br />or propackaged foods approved sources. <br />; -Xpi&*i wator^drinking, utensil and hand washing will be provided In my booth by the following mClnod| <br />aon^^^thatfownn^ <br />. 0ecQi^4^^id1i*foy booth's use: Yes 0 No” <br />O Sterne* hotel (rays <br />□steam table & Ude <br /> Other (specify) <br />pbtenWaWy hazardous food tncluds: <br />gB^“oim <br />Greolneis grows here. <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />Al fpod vendora (both for profit and ndn^j Wj^^ ‘° re’urn ^s,9ned and a : ofthls^oc <br />J'll't.Name of Eventc_ <br />The Wlowtng Is Information aboutnw organlzationAxisIness: <br />Name of orpanlzBton/busIness; _Tz7X^JL <br />Address: KfevU- <br />Phon.: <br />3, List food to be aoki or given to the public*. —Q> V — <br />4. I am provWng food that to NOI prepared at homo: Q^osa No <br />; Address of fecWylSt^.S j <br />g dust and the pubfc) <br />and smooth wood are acceptable) and constructed to separate ( ^ssas <br />booths are those Whkh sell I