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TEMPORARY FOOD VENDOR'S APPLICATION <br /> All food vendors (both for profit and non-profit)are required to return a signed and completed copy of this checklist in <br /> the festival coordinator three(3)weeks prior to this event <br /> 1. 1.Name of w Saturdaysent Downtown Tracy Farmers Market Datn(s): Year Round <br /> 2 The foflovAng is information about my organlzaboribusiness: <br /> Name of organiratiorJbusiness: Rail N Smoke 960 <br /> Address: 548 Market Street#573206 San Fransisco CA 94104 <br /> Phone: ( 209 ) 627-6614 Wlornate:( ) <br /> 3. List food to be sold or given to the public Beof Ribs, Beef Brisket, Tri-Tip <br /> 4. 1 am providing food that is NOT prepared at home. [Q Yes ❑No <br /> Alf food Is prepared ou-site or is from approved commercial facilities- ® Yes ❑ No <br /> Name of facility, phone: f I <br /> Address of facildy.548 Market Street #573206 San Fransisco CA 94104 <br /> 5. 1 am providing a booth with the following-(to protect my unpadcaged food and food-preparation areas from flips, <br /> dust and the public) <br /> ® A booth with walls and coiling canstructod of either wood, canvas, plastic, similar matenal and fine mesh fly <br /> scmening, oornpletely enclosing open food areas It will also have a smooth and cleanable floor (concrete, <br /> asphaft. dean tarps and smooth wood are acceptable)and constricted to separate food and food preparation <br /> areas from the pubfic_ <br /> ❑Other(specify): <br /> Note: The onty operations not required to provide enclosed booths are those which sell boveragm from <br /> approved drmpensers, or prepackaged foods from approved sources. <br /> 6. Approved writer for drinking, utensll and hand washing will be provided In my tooth by the following methods <br /> ®Approved bottled water. <br /> ❑On-sate hose bah that Is connocted to a potable water source. <br /> ❑ Other(specify): <br /> 7. Electricity Is provided for my booth's use:❑ Yes❑ No <br /> 8. 1 am providing W accurate probe thermornotor to measure the hot and cold holding of potentially hazardous <br /> Foods during an times or booth operation: 0 Yes ❑No <br /> 9. 1 am providing the following hot temperature contrd for the hot hoidmg of all potentially hazardous foods above <br /> 135'1=: <br /> ❑Camp slove. ❑ Stemo&hotel tn3ys <br /> ❑ Double atearnm ❑Steam table&lids <br /> ❑Electric stove top Other(specffy) <br /> Note: Examples of potentially hazardous food Include: meats. tamales, cooked beans, rice, <br /> vegetables. potato salad, eggs,and dairy products. <br /> rLHo iaaz Papa r or>> <br /> otio11re 7EW EVENT APP <br />