Laserfiche WebLink
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 />J <br />zCompleted by:.14.- <br />10 X 10 ft. Booth <br />No Smoking Sign <br />Paper Hand Towels <br />Soap Dispenser <br />Cutting Board <br />Bleach <br />Propane Stove <br />0 <br />Bleach and WaterSoap and Water <br />Fire Extinguisher <br />Ice Cooler <br />vendors'sSanJoaquinAsparagusFestival.net • 916-370-3647 phone * 209-234-1780 faxPage 2/2 Rev 10/14/2015 <br />yi Water supply dispenser (e.g. 5-20 gallons, Igloo or Coleman container with spigot). <br />Jg] One separate tub (bucket or basin) for the collection of rinse/waste water. <br />Q Paper towels and pump-style soap container. <br />□ 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 />Extra <br />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 />[J Detergent, bleach and water (one cap full per gallon of water). <br />2-1/2 Gal. <br />Hand Wash Water <br />I am providing the following for adequate hand washing facilities, but separate from utensil washing <br />within my booth: <br />XZ <br />Health Permit <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 am providing the following cold temperature control for the cold holding of potentially hazardous foods <br />below 45° F: <br />IMPORTANT <br />All food vendor booths are suojei <br />event. A copy of this checklist > <br />Return original to festival coon <br />J.Slsmo w/Chaffing <br />Drsh <br />Names of responsible persons tobe present in booth during all hours of operation: <br />O D Im PlfiVA (A.h . i 1 yT A Qj-f S______________________ <br />ct to <br />hust be in tMfe <br />jinat »r two/m <br />Ignature/Title <br />nspection.ffiea^e make yourseif a copy of this application in preparation for this <br />iofti at all hours of preparation and operation. <br />Ith^JHiorlo this event. <br />I Propane Tank I <br />Exfra les Bags must be stored oft <br />of lha ground! <br />Food Containers must be stored <br />off the floor!