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Page 2FOOD VENDOR PERMIT APPLICATION <br />10. <br />I am providing the following items within my booth for the sanitary cleaning of food-preparation utensils:11. <br />12. <br />13. <br />Completed by:.14. <br />iignature/Title <br />LHealth Permitto x to n. Boom i!: <br />PapeiHandloweb <br />CuCsng Boons <br />I ’ <br />Propane Tank <br />Soap and Water Bleach and want <br />Ice Cooler <br />u <br />vendors@SanJDaquinAsparagusFestival.net • 916-370-3647 phone • 209-234-1780 faxPsfld 2/2 Rev 10A4Z2015 <br />lilyl-Jr.LV <br />Slemo w?Cho?Jing <br />Di»h <br />SGaJRand Wash <br />Waste Water Cor.x»ner <br />2-1/2 Gai. <br />Her.d Wo*h Water <br />Garbage <br />Can <br />Must be on <br />Concrete, Asphalt. <br />Plywood or a Tarp <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). <br />! am providing the following for adequate hand washing facilities, but separate from utensil washing <br />within my booth: <br />Extra <br />VttUr <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 />I <br />I am providing the following cold temperature control for the cold holding of potentially hazardous foods <br />below 45° F: <br />.V y <br />Cxenguflber I <br />' ""—IpNo Smotmj s>s n I ■ <br />IMPORTANT <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 months prior to this event. <br />Water supply dispenser (e.g. 5-20 gallons, Igloo or Coleman container with spigot). <br />One separate tub (bucket or basin) for the collection of rinse/waste water. <br />Paper towels and pump-style soap container. <br />Names of responsible persons to be present in booth during all hours of operation: <br />_________________-____________________ <br />Extn Ico must Hond oft <br />of^to^iwndiFood Cwianon msf bo stand <br />otittvnocri <br /> Ice chests Refrigerator <br /> Refrigerated truck Ice bath and tubs <br />{71 Other (specify):