COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

TEMPORARY FOOD VENDOR’S APPLICATION I.Name of Event:1.P 2. Name of organization/business: Phone: 3. 4. 5. 6. Approved bottled water. 7. 8. 9. meats, tamales, cooked beans, rice, TEMP EVENT APPPage 7 of 11EHD 16-02 08/01/16 Other (specify): _______________ ___________________________ Note: The only operations not required to provide enclosed booths are those which sell beverages from approved dispensers, or prepackaged foods from approved sources. Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods: Jsf Sterno & hotel trays <£SLsteam table & lids Other (specify) "DslA cisT'' Ta - Camp stove Double steamer Electric stove top Note: Examples of potentially hazardous food include: vegetables, potato salad, eggs, and dairy products. foods during all times of booth operation: Yes No I am providing the following hot temperature control for the hot holding of all potentially hazardous foods above 135°F: On-site hose bib that is connected to a potable water source. Other (specify):-------------------------------------------------------------------------------------------------------------------------------- Electricity is provided for my booth's useYes No I am providing an accurate probe thermometer to measure the hot and cold holding of potentially hazardous I am providing a booth with the following: (to protect my unpackaged food and food-preparation areas from flies, dust and the public) Ma booth with walls and ceiling constructed of either wood, canvas, plastic, similar material and fine mesh fly 'screening, completely enclosing open food areas. It will also have a smooth and cleanable floor (concrete, asphalt, clean tarps and smooth wood are acceptable) and constructed to separate food and food preparation areas from the public. All food vendors (both for profit and non-profit) are required to return a signed and completed copy ofthis checklist to the festival coordinator three (3) weeks prior to this event. A ------------------------------- - --------Date(s): The following is information about my organization/business: I./ C_________ Address: aJo ^T-S) ^9^ Alternate: 7--------- List food to be sold or given to the public: \ J-------- txxcKqg i holjiAM ) I am providing food that is NOT prepared at home'.'^Yes No All food is prepared on-site or is from approved commercial facilities:'^ Yes No Name of facility: ■"Dsdk Gl mC-Phone: () Address of facility:.