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4- TEMPORARY FOOD VENDOR'S APPLICATION All food vendors(both fix profit and wnlxvft)are required to return a signed and ompl led copy of this checklist to the festival coordinator three(3)weeks prior to this event t 1 L Name of Event Manteca Sunrise Kiwanis Pumpkin Fair October 6 & 7, 2018 2 The following is irdofrmation about my ownrxatlortlbusiriess: Name of organu:ationlbusiness. _Aloha Concessions Address- 4128 Sunn view Rd. NE. A Phone: 1 503 ) R9"-a000 Alternate:( } 3 List fuoU to be sold or given to the public. Cotton Candy, Lemonade Shave .i. I am providing f that M NOT prepared at home:0 Yes❑ No All food is preps or_ is from approved oDnwriemml facilities:0 Yes Cl No Name of facility: Phone: } Address of facility . 5 1 ram providing a booth with the following- (to protect my unpackacged food and food reparation areas from fl1-5. dust and the public) V A booth with walls and oeiling constructed of either wood, canvas, plastic, similar material and fine mesh fly screening, cornpietely enclosing open kaod areas. it will also have a smooth and cleanable floor (concrete, asphalt, dean tarps and smooth wood are acceptable) and constructed to separate food and food preparation areas from the outAic. E Other(specly): _-- Note: The only operations not required to provide enclosed booths are thaw which sell beverages from approved dispensers,or prepackaged foods from approved sources_ 5. Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods ApproveJ bodied water uJ on-site hone bib that is connected to a potable water source. ❑Other(specify) 7. Etectwty is provided for my booth's use: U Yes❑No z3 I am providing an accurate probe thermometer to measure the hot and coed holding of potentially hazardous foods duffing all tines of booth ablation 0 Yes❑No J 1 am providing the Following hot temperature control for the hot holding of all potentially hazardous foods above 135"F 1-1 Camp stove LLJ Stemo&hotel trays ❑Double steamer ❑Strom table&lids Ll Ekrctix stove top ❑outer(specify) Note: Examples of potsntlally hazardous food Include: meats, tamales, cooked Means, rice, veastabWa,potato salad,eggs,and dairy products. EHD ltLAY2 TEMP EVENT?DPP 7.mia