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Page 2FOOD VENDOR PERMIT APPLICATION <br />10. <br />11. <br />12. <br />13. <br />IMPORTANT <br />Completed by:.14. <br />Health Permit10X ion. Booth <br />No Smoking Sign <br /> Paper Hand Towels <br />Soap Dispenser <br />Cutting Board <br />Bleach <br /> ___ <br />Soap and Water Bleach and Water <br />Fire Extinguisher <br />Ice Cooler <br />vendorssSanJoaquinAsparagtisFestival net • 916-37D-3647 phone • 209-234-1780 fax <br /> <br />Page 2/2 Rev 1 (VI4/2015 <br />Stemo w/Chaffing <br />Dish <br />Exira <br />Water <br />Garbage <br />Can <br />Must be on <br />Concrete, Asphalt, <br />Plywood or a Tarp <br />5 Gal HandWash <br />Waste Water Container <br />2-1/2 Gal. <br />Hand Wash Water <br />Your hot & cold food temperatures will be monitored. Your hand washing and sanitation processes will <br />be checked. PLEASE meet the required standards as addressed herein. <br />Q <br />_/ <br />I am providing the following cold temperature control for the cold holding of potentially hazardous foods <br />below 45° Ft <br />______■ <br />Extra fee Bags mu^ be siorgd off <br />of the ground! <br />Food Containers must be stored <br />off the flood <br /> Ice chests Refrigerator <br /> Refrigerated truck Ice bath and tubs <br />Other (specify):A-------------------------------------------------------------——------------------ <br />I am providing the following items within my booth for the sanitary cleaning of food-preparation utensils: <br />All food vendor booths are subject to inspection. Please make yourself a copy of this application in preparation for this <br />event. A copy of this checklist must be in the booth at all hours of preparation and operation. <br />Return original to festival coordinator two monibs prior to this event J <br />Signature/Trtle <br /> Three compartment sink. <br /> Two deep tubs (basins 6-8 inches minimum), one for soapy water, the other for rinse and bleach solution. <br />^Detergent, bleach and water (one cap full per gallon of water). ^'7 <br />I am providing the following for adequate hand washing facilities,tout separate from utensil washing <br />within my booth: <br />Water supply dispenser (e.g. 5-20 gallons, Igloo or Coleman container with spigot). <br />T^-One separate tub (bucket or basin) for the collection of rinse/waste water. <br />^^Paper towels and pump-style soap container. <br />Names-'of'r^ponsible per&eps to be present in booth during all hours of operation: <br />B /z7 __________________ <br />Propane Sieve <br />I Propane Tank