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FOOD VENDOR PERMIT APPLICATION <br />Page 2 <br />10. <br />11. <br />12. <br />13. <br />Completed by: <br />10X10 ft. Booth <br />Paper Hand TowelsSoap Dispenser <br />Cutting Board <br />BleachPropane Stove <br />Soap and Water <br />Ice Cooler <br />Page 2/2 Rev 10/14/2015 vendors@SanJoaquinAsparagusFestival.net • <br />Must be on <br />Concrete, Asphalt, <br /> Plywood or a Tarp <br />Q Ice chests <br />□ Refrigerated truck <br />□ Other (specify): <br />□ Refrigerator <br />□ Ice bath and tubs <br />5 Gal Hand Wash <br />Waste Water Container <br />2-172 Gai. <br />Hand Wash Water <br />Health Permit <br />copy of this application in preparation for this <br />- - ---- -- V. I. <br />prigr to this^vent. <br /> ^4 \ <br />Bleach and Water <br />( Extra ' <br />Water <br />Garbage <br />Can <br />916-370-3647 phone • 209-234-1780 fax <br />^ire Exiinguisher <br />■-■■■ ________________________________________________________ <br />Extra Ice Bags must be stored off <br />of the ground! <br />offfo floo3!™™ mUSt slored <br />or adequate hand washing facilities, but separate from utensil washing <br />IMPORTANT <br />AH food vendor booths are i ' ' ’ ' <br />event. A copy of this checklisi must beln^e booTh Zt’ ^hours' <br />• tvycrmbi <br />be checked. PLEASE meet the required standards <br />W^f"9 *he ,O"°Wi"9 C°ld tem'>era,Ure OO"™ “'I holding o< potential!, hazardous tends <br />Propane Tank p"..... <br />_c <br />and sanl,a"on procesMS ""I <br />I am providing the following items within m, booth lor the sanitary cleaning ol lood-preparation utensils: <br />□ Three compartment sink. <br />n 'h S (taSinS 6’8 in°heS °W f°r S°aPy Wa,a ,he other for ""se hteach solution <br />□ Detergent, bleach and water (one cap full per gallon of water). <br />I am providing the following fi <br />within my booth: <br />fKj Water supply dispel <br />Sterna w/Chaffing I <br />Dish <br />S' <br />SignaturV/Titfe'''' <br />r- . <br />I No Smoking Sign K <br />w water supply dispenser (eg. 5-20 gallons, Igloo or Coleman container with spigot). <br />□ One separate tub (bucket or basin) for the collection of rlnse/waste water. <br />Q Paper towels and pump-style soap container. <br />Names of responsible persons to be present in booth during all hours of operation- , <br />---------__________________mow <br />f --------------- ---------------------—______________________________ <br />subject to inspection. Please make yourself ar ’ " ' <br />of preparation and operation.Return original to festival coordinator <br />14.