Laserfiche WebLink
Date(s): April 15.16 & 17, 2016Name of Event: San Joaquin Asparagus. Festival.1. <br />2. <br />3. <br />4. <br /> No <br />5. <br />6. <br />7. <br />8. <br />9. <br />Page M2 Rev 10/14/2015 <br /> Approved bottled water <br />□Idose-bib on-site at the festival. <br /> Other (specify):...----------------- ----------------------------- <br />Electricity is provided for my booth’s use: Q^Yes No <br />I am providing an accurate probe thermometei^o measure the hot and cold holding of potentially hazardous <br />foods during all times of booth operation: □'Yes No <br />I am providing the following hot temperature control for the hot holding of all potentially hazardous foods <br />‘above 140° F: L <br /> Camp stove ' ' Double steamer Electric stove top <br /> Sterno & hotel trays Steam table & lids Other (Specify)------------------------------------ <br />Note: Potentially hazardous food examples: meats, tamales, cooked beans, rice, vegetables, potato <br />salad, eggs and dairy products. <br />fJ e -c ") <br />The following is information about my organization/business: <br /> <br />try/. <br />Phone:Alternate: ------------------------------------------- <br /> List food to be sold or given to the public: I ------------------ <br />I am providing foods that are not homemade: ETfes No <br />All foods are prepared on-site or are from approved commercial facilities: [vf Yes <br />Name of facility: ---------------------------------------------—— ----------------—-------------- <br />E.H. Permit #: —--------- ---------- ----------------------------------- <br />I am protecting my unpackaged food and food-preparation areas from flies, dust and the public by the <br />following methods: <br /> A booth with walls and ceiling constructed of either wood, canvas, plastic, similar material and fine <br />mesh fly screening, completely enclosing open food areas. <br /> A booth with a smooth and cleanable floor (concrete, asphalt, clean tarps and smooth wood are <br />acceptable). <br /> A booth constructed to separate food and food preparation areas from the public. <br />rvKXher (specify)- CJ. / T Qi L'tS -------—---------------------------------- <br />Note: the only operations not required to provide enclosed booths are those which sell beverages from <br />approved dispensers, or prepackaged foods from approved sources. <br />Approved water for drinking, utensil and hand washing will be provided in my booth by the following methods: <br />San Joaquin County FOOD VENDOR HEALTH FORM <br />Vendors not in compliance can be asked to close their booth and forfeit the show. <br />All food vendors (both for profit and non-profit) are required to return a signed and completed copy of this checklist to <br />the festival organizer two (2) months prior to this event.