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<br />TEMPORARY FOOD VENDOR’S APPLICATION <br />Market on MapleName of Event <br />2 <br />Address <br />Phone: <br />3 <br />4 <br />5. <br />a <br /> Other is^eofy) <br />e <br />r. <br />ThMP KVEM <br />I am prowfe-.g a booth with tfra following: (to protect my unpecxagec food and food-p«epar3tion areas from Sies <br />dust and the public) <br />Q Stemo 3. hotel trays <br />Q Steam table & lids <br /> Othw {specify) <br />frtO >B<>? <br />•.a'!3)23 <br />M food vendors (both for proSt and non-profit) are required tc return a sig -re j and completed copy of this #re<xt)st to <br />the festival coordinator three (3) weeks poor to this event Saturday <br />May-Oct <br />i am provlrtng an accurate probe thermometer to_measu.'e the net and cold holding of ootenbaRy hazardaus <br />foods during a« Vmes of txwrr- operation- Q Y^s £j No <br />i am providing Ute foltowinc not temperature contrct fer the hot holding of all ootentaliy hazardous foods abovs <br />Q Camp stove <br />Fl Double steamer <br /> Eteifthc stove tap <br />Electricity is prawoed for my booth's use: Q Yes iZfNo <br />The following is Information about my organizstton^usiGe&s <br />Name of crgnnizsttorVbusinsss: <br />.\^V\ Vh\mvn</, V^n< Wt'IO »_CA._ 0 <br /> Alternate iacpi) <br />List food to be sold or given to the puistc Vl V * £ 4 <br />I am providing food that is NOT prepared al home:'£j*¥as □ No <br />.All food is prepared on-site or is from approved commercal facilities SjS'es Q No <br />Name of fscifry^* ._____Phone ( ) i <br />Address offabSl^______ _______________________________ _________________________________ <br />Note. Examples of potentially hsaarxfcnjs food Include: <br />vegetables, potato salad, eggs, and dairy products. <br />Aporaved urater for drinieng. utensil end hand washing will be pravioea m my booth by the fotewlng methods <br />C/^Aporovad betted water. <br />'ZiOn-site hose tub that is connected to a potable water sourse <br />meats, tamale*, cooked beans, nee. <br />Pi A booth wth walls and rsifcng constmted ot either wood canvas, plastic, similar mawnal and fine rnesh fiy <br />screening, completefy sneiosing open food areas. It w.'l also have a smooth and oeanabie fioc; (concrete. <br />asphaR. dean tarps and anoOh wood are accejatabie) and ccnstrectej to seoarate toad and fooc preparation <br />areas from the public. <br />g^her /Sftectfyy . CcyiopxjjftU foccA pre-cA- <br />Note: The only operators not required to orovide ancicsed teaotns are mass wnich sei! toverages from <br />approved dispaneers, or prrepacxayed foods from approved sources.