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.Jun 23 17,01:16p Hot Diggity Do- 19094164842 p.2 <br /> burn G 20q -I-q0-�qZo <br /> boo 411A git Scn, <br /> TEMPORARY FOOD VENDOR'S APPUCATUN <br /> NI food vendors(both for p o!d and non-Profitj are required tc ratum a s+g Vd a;)r:ca-7T,*tr d COPY of LRt Ch9Ck!-,C. <br /> the fessmi [o oervinaior three(3)weeks�iOr to this even+ i <br /> 1.Narttr;of Event. _ ?atefs) SJr 11' <br /> 2 The fbik wing is information about y organtrat!onlbLIvness: <br /> .&rne of organuatbrvbusinrss 1 <br /> Address- 6B — <br /> PhGne �'-/[lt✓j�'_ b �---., A41BRk9ie. r •' <br /> 3 l isl fpgd la be sad or givf+ri cost e pubh90� <br /> �L45 . C.4vat �aPea rr� <br /> 4-� I am provldtrg food that is NOT pare:at hems yes( No 1 <br /> All'Cod s prel+ared on-site ors from approved commercial faolit*rs Y,Yes_NC <br /> Yame cf laCrlky pho 1 — <br /> Address of(acuity <br /> 5 1 am Frovuprng a crooth wih the ft liowincl' (rc protect my unpackageo foot ano fend-areparetion areas from C:cs. <br /> dust and the pubticl <br /> A booth with walls and Cerirng constructed of ehmer wood.Canvas. piastc similar material and one mega Ky <br /> steering, ooirplslely encasing Coen food arms It wiil also .rive a smooth and cleanable floor!concete. <br /> asphait clean taros and 'smooth wood are aeceptabie)and constructed to separate food and food p'eparanOn <br /> areas ircrn the 7uhiic. <br /> V,Omer;rweclfv! <br /> Niue: the only operations not tw4,jlreJ to provide endosw bcotf+s are those which Sell beyB+ages from <br /> aoarcivea claoensers or prepacKaged foods Porn approved soxces. <br /> 6 Approved water for drinking.utensil and mend washing wH be provided in my bocce by the foik7+nng methods <br /> Approved tottte4 water <br /> on_cea nose b,t;that is tonne-med?o i pothole water sours ( ' <br /> l7tt,er,spEaty, ilia <br /> Elec aty is provided for my boolh 5 Use:iyes C No <br /> I am nriovrarng an accurate probe thermometer to measure the hot ano Cad holama of potentially hzza=7 Is <br /> !08dS d•Jr1n,q all times cf tooth operaw—, 7 Yes[ No <br /> am Cr!mding the folhawino hot ternperature 7orrtrol for the hot ho{alr•g of ail potentially heizzardous foods above <br /> i 3n•,r. <br /> Camp srovm Su-Rrnu&hnTet tr,3ys <br /> f:ueUbte steamer &tpam taste&lids <br /> Ei4ctrr stove too Other;snecifv? <br /> Note: Examplim of pcuanually nazardous food Inciude; meats, tanraires, coofcbd Beans, rice, <br /> vegetables,potato salad.eggs,and dairy products. <br /> .F'3.';' war Nn> <br /> F.ir r�r7 <br /> n <br />