Laserfiche WebLink
TEMPORARY FfcOD VENDOR’S APPLICATION <br />Market on Maple1.Datefs): <br />2. <br />Address: <br />Phone: <br />- r <br />3. <br />'■■'r <br />4. <br />5. <br /> Other (specify): <br />6.Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods: <br /> Approved bottled water <br /> On-site hose bib that is connected to a potable water source. <br /> Other (specify): <br />7. <br />8. <br />9. <br />meats, tamales, cooked beans, rise. <br />TEMP EVENT APPPage? of 11 <br />All food vendors (both for profit and non-profit) are required to return a signed and completed copy of this checklist to <br />Thursday <br />May - Oct <br />I am providing an accurate probe thermometer to measi <br />foods during all times of booth operation: Yes 0 No <br />Note: The only operations not required to provide enclosed booths are those which sell beverages from <br />approved dispensers, or prepackaged foods from approved sources. <br /> Stemo & hotel trays <br />O Steam table & lids <br /> Other (specify) <br /> Camp stove <br /> Double steamer <br /> Electric stove top <br />.■K <br />iure the hot and cold holding of potentially hazardous <br />’ ... - . <br />.' -r <br />Electricity is provided for my booth's use: Yes Efklo <br />EHD 16-02 <br />0W01/16 <br />I am providing the following hot temperature control for the hot holding of all potentially hazardous foods above <br />135T: <br />Note: Example* of potentially hazardous food include: <br />vegetabfos, potato sated, egos, and daky products. <br />I am providing a booth with the following: (to protect my unpackaged food and food-preparation areas from flies, <br />dust and the public) <br /> A booth with walls and ceiling constructed of either wood, canvas, plastic, similar material and fine mesh fly <br />screening, completely enclosing open food areas. It will also have a smooth and cfeanable floor (concrete, <br />asphalt, dean tarps and smooth wood are acceptable) and constructed to separate food and food preparation <br />areas from the public. <br />--------------------- Alternate: (y , <br />and Corn <br />I am providing food that is NOT prepared at home: j^Yes No <br />Ail food is prepared or is front approved commercial facilities: □’Yes No <br />Name of facility: . vJQKS WW f^hone: £)____ <br />Address of facility: , . .jJ . , . <br />the festival coordinator three (3) weeks prior to this event <br />1. Name of Event: <br />The following is Information about my organizaflon/business: <br />Name of organizatron/business: $0^5 Corn <br />■Hit P-iW Dr <br />-fa 55 -- Alternate: I 13 <br />List food to be sold or given to the public: _