Laserfiche WebLink
't'1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />■ <br />9. <br />PageToF 11 <br />i <br />I <br /> Stem© & hotel trays <br /> Steam table & lids <br /> Other (specify) <br />■ ■ •■ . ■ <br />" i <br />meats, tamales, cooked beans, rice, ■ <br />1EMP EVENT APP■-If'- <br />' ■ <br />TEMPORARY FOOD VENDOR’S APPLICATION <br />10 relum 3 9ian^ and completed copy of te checWlst to <br />l-Name of Event:, <br />The folkwing is inluimauon about my organlzation/businsss; <br />Name of organtadontouelness: <br />(2tft)^0aM Mematotrv^ <br />List food to be sold or given to the publfc foltlkAl >5. KW W-, <br />^~ing food that is HOT prepare<1 <br />Name offeXN° <br />dust and ihe public) *he followfn3, protect my unpackaged food and food-preparation areas from fifes, <br />aSin3J ^P'ste^eretosing^en foSdlrMs'*1’h P'a3,i0' rnaterial 8nd flne mesh <br />a^hah, dean tarps and smooth wood a^ Sn > a " a Smoolh and cleanable floor (“ncrete, <br />areas from the public. acceptable) and constructed to separate food and food preparation <br />pother (specify): IQUD S <br />^W-tortorddnRtog.uta^nd^ <br />/^MPProved bottled water. <br /> On-aite hose bib that is connected to a potable water source. <br />O Other (specify): ; ■ ' <br />1. Eladridty is provided for my booth's use: DYes^No /i-", <br />.;' tSs <br />9. I am providing the following hot temperature control for the hot holding of all potentially hazardous foods above <br />■ ... ’ <br />Q Camp stove <br /> Double steamer <br /> Electric stove top <br />Note: Examples of potentially hazardous food Include: <br />vegetables, potato salad, eggs, and dairy products. <br />EHD 1B-02 - • , <br />08/01/16