COMPLIANCE INFO - Laserfiche WebLink

Home Browse Search

Date(s): April 15,16 & 17, 2016 Name of Event: San Joaquin Asparagus Festival1. 2. 3. 4. No Yes 5. 6. No7. 8. 9. Page 1/2 Rev 10/14/2015 Name of On Address:. Phone:_ Electric stove top Other (Specify) San Joaquin County FOOD VENDOR HEALTH FORM Vendors not in compliance can be asked to close their booth and forfeit the show. All food vendors (both for profit and non-profit) are required to return a signed and completed copy of this checklist to the festival organizer two (2) months prior to this event. The following is information about my organization/business: ■ganization/Business:_^----------j------------------------- ____Alternate:_ _________ List food to bo sold or given to the n„Nio , Wl-fa, OOCttM gVpX I am providing foods that are not homemade: Yes E/TNo All foods are prepared on-site or are from approved comnfercial facilities: Name of facility:. ______________ E.H. Permit #:__—---------------------------- - I am protecting my unpackaged food and food-preparation areas from flies, dust and the public by the following methods: □"A booth with walls and ceiling constructed of either wood, canvas, plastic, similar material and fine mesh fly screening, completely enclosing open food areas. □A booth with a smooth and cleanable floor (concrete, asphalt, clean tarps and smooth wood are S acceptable). A booth constructed to separate food and food preparation areas from the public. 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: I am ‘above 140° F: J/] Camp stove Double steamer Sterno & hotel trays Steam table & lids Note: Potentially hazardous food examples: meats, tamales, cooked beans, rice, vegetables, potato salad, eggs and dairy products. vendors@SanJoaquinAsparagusFestival.iiet • 916-370-3647 phons • 209-234-1*80 fax Approved bottled water Hose-bib on-site at the festival. Other (specify): _______ Electricity is provided for my booth’s use: J/fYes I am providing an accurate probe thermometer to measure the hot and cold holding of potentially hazardous foods during all times of booth operation: ^p^Tes No providing the following hot temperature control for the hot holding of all potentially hazardous foods