Laserfiche WebLink
TEMPORARY FOOD VENDOR'S APPLICATION <br /> All lvod verdM(both b(PIUM and non-Prole)lire ►eWffed to return 8'7lad and coMPWted CWy of thr3 chedcfrse <br /> the festival coordinator three(3)weeks poor tc fats event <br /> ! 1 Name of Event <br /> ZGJB <br /> 7 The tD3awtrsg is intomtabon about may/organtzaW/busu ms... <br /> Nan-e or organaatioNhuairiesa <br /> Afmmate. ( 5/6 pol/ _7 q03—-- <br /> 3 fist food to be sold or giver+io the public. t J�St allli 3 ----- <br /> A 1 am p(OVK*g food that its NOT lampatsd at horn. Yes 0 W-i <br /> Ail food is prepared of-s►te Or 45 fnxn approved Mnvnercwd facd6es CJ Yes 11 No <br /> Mane of taciihy D S t'T _-- Phone L_ ' <br /> Adoress of facility_ --�.-- _--- ----.__-- <br /> a 1 am providing a Woth with the h)kWDQ (to protect my unpackagad food and food-fxeiparatm�,n areas from flies <br /> dust anti the public) <br /> �Xp A booth with walls and ceiling consmxYed of either wood, canvas, plastic similar niatenal ano!tine mesh fty <br /> scmening, cornpietsiy enclosing open food areas It wiA also have a smooth and cleiarsntale floor (concrete. <br /> asphalt. dean tarps and smooth wood are acceptable) and oonstructed to separate food and food preparation <br /> areas from the public. <br /> ...Other 1specitYJ. - <br /> Note. I he only operations not ieyuired to provK* enc:lcr WOWS site those wficil seb beverages from <br /> aporovea dispensers. or prepackaged foods from approved sources. <br /> Approved wafer for drinking.utenaii and hand washing wdl be provided in ttry booth by the fofkrwng metnods <br /> JQApprovdd twttied water <br /> f__,on-site hose Fib that is connected to a patatale wafter sauroe <br /> %. Other rspecdy7 <br /> Etecutioty is provtded for my troth s use Yes L,No 6s CQ►M1'f O 1A# <br /> S VPM 0&4T <br /> 8 t am provtdmg an accurate probe thennrxrieter to measure the hot and txdd holding of potentially hazardous <br /> fonds during all Itn'ies of booth operation �8 Yes[No <br /> 9 ; am pawiding the Ulowing hot temperature control for the hot holding of at1 potentially hazardous toodsi above <br /> t35-F <br /> LJ Camp atdvd i_j Sta+r„o& hoTaf trays <br /> Ci t7oubks siaarrwr ❑Steam table&fide �[/�� FpfZ v S <br /> [_'Ei�ctnc stove lop [a Other (specify) <br /> Note. Exampl" of potwAWUy hazardous food tnclud&; MOM, tam2106, Cooked baana rice, <br /> vogetabiss. potato astad,pga,and dairy products. <br /> F.r,��u7 <br /> 7.2.e <br />