Laserfiche WebLink
1. <br />Date(s): <br />2. <br />3. <br />4. <br />5, <br />6. <br />7. <br />8. <br />9. <br />meats, tamales, cooked beans, rice, <br />Page 7 of 11 <br />TEMP EVENT APP <br /> \ <br />EHD 18-02 <br />7/14/15 <br />a signed and completed copy of this checklist to <br />the hot and cold holding of potentially hazardous <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />All food vendors (both for profit and non-profit) are required to return <br />the Festival coordinator three (3) weeks prior to this event, <br />1. Name of Event: CajM-K 4- 'UtA.e^ <br />The following is information about my organization/business: <br />Name of organization/business: <br />Address: <br />Phone: (> - - <br />List food to be sold or given to the public: <br />I am providing food that is NOT prepared at home: ^Yes No <br />All food is prepared on-site or is from approved commercial facilities: ST Yes No <br />Name of facility: _________________Phon- <br />Address of facility: ____ <br />_______________ <br />------------------------- Alternate: () <br />__________ <br />1 Sand the puM^ f0H0W,n9: ’ ° Pr°teCt my unPacka9ed food ^d food-preparation areas from flies, <br />ap ™c' r"8/ rer,a'and fine ™sh ” fXafromthneXcand Sm°Oth W°0Cl 3re aCCeptab,e) and constructed to separate foodTndi foo^pfepaSn <br /> Other (specify): <br />Note: The only operations not required to provide enclosed booths are those which sell beveraoes from <br />approved dispensers, or prepackaged foods from approved sources. 9 <br />Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods: <br />l&Approved bottled water. <br /> On-site hose bib that is connected to a potable water source. <br /> Other (specify): <br />Electricity is provided for my booth s use: g(j Yes No <br />I am providing an accurate probe thermometer to measure <br />foods during all times of booth operation: F] Yes JH No <br />' a^5PorF0Vidin9 ‘he fol,'owin9 hot temperature control for the hot holding of all potentially hazardous foods above <br />V/Ar <br />[—1 Camp stove Q Sterno & hotel trays <br /> Double steamer steam table & lids <br />Q Electric stove top | | Other (specify) <br />Note: Examples of potentially hazardous food include: <br />vegetables, potato salad, eggs, and dairy products.