Laserfiche WebLink
1. <br /> <br />Name of Event: San Joaquin Asparagus Festival <br />2. <br />3. <br />4. <br /> No <br />5. <br />6. <br />7. <br />8. <br />9. <br />Yes <br />_____Alternates <br />Electricity is provided for my booth’s use: <br />are required to return a signed and completed copy of this checklist to <br />event. <br />me?hodsy:UnPaCkaSed food-preparation areas from «ies, dust and the public by the <br />Wa"S and Ce!lin^ COnStructed of either wood' canvas, plastic, similar material and fine <br />mesh fly screening, completely enclosing open food areas. <br />D a SmOOth and Cleanabie fl00r (concrete’ asphalt’ clean tarps and wood are <br /> A booth constructed to separate food and food preparation areas from the public. <br /> Other (specify): <br />l°n!;th!Tiy operations not requiredto frompproved 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 />Approved bottled water <br /> Hose-bib on-site at the festival. <br /> Other (specify):. <br />Date(s): April 15, 16 & 17, 2016 <br />The following is information about my organization/business: <br />Name of Organization/Business: i~ C".1 <br />Address: P trs4- z ' <br />Phone:____9 -7_______ <br />\ __________ <br />List food to be sold or given to the public: Troy \rM <br />I am providing foods that are not homemade: ^Yes No <br />All foods are prepared on-site or are from approved commercial facilities: JxjYes <br />Name of facility: <br />E.H. Permit <br /> Yes JxfNo <br />^7,he “and “id hoid'n9 °f po,en,ia"y haza’d“ <br />fOllOWinS hOt temperatUre COntrol for the hot holdin9 of aH Potentially hazardous foods <br /> Camp stove Double steamer Electric stove top <br /> Sterno & hotel trays Steam table & fids Other (Specify) <br />examp'“: mea'S' “Oked ‘"'a"s' rice' PO">«° <br />pa5e v2Rev w/,^5 vendors(ASanJoaquinAsparagusFestivsl.net • 916-370-3647 phone • 209-234-1780 fax <br />w u 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) <br />the festival organizer two (2) months prior to this