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FOOD VENDOR PERMIT APPLICATION <br />10. <br />11. <br />for soapy water, the other for rinse and bleach solution. <br />12.Mnmybooth^ fOUOW'n9 f°r adec’uate hand washing facilities, but separate from utensil washing <br />13. <br /> -C <br />Completed by:. <br />Signature/Title <br />10 X 10 ft. Booth <br />Health PermitNo Smoking Sign <br />Paper Hand Towels <br />Bleach <br />\fC 0 <br />Soap and Water <br />Q <br />Ice Cooler <br />vendorsfeSanJoaquinAsparagusFestival.net • 916-370-3647 phone • 209-234-1780 faxPace 2/2 Rev 10/14/2015 <br />Stemo w.Chaffing <br />Dish <br /> Refrigerator <br />'0Jce bath and tubs <br />Extra <br />Water <br />2-1/2 Gal <br />Hand Wash Water <br />Garbage <br />Can <br />Must be on <br />Concrete, Asphalt, <br />Plywood or a Tarp <br />^0Jce chests <br /> Refrigerated truck <br /> Other (specify): <br />5 Gal Hand Wash <br />Waste Water Container <br /> <br />Propane Tank <br />___M j Ftro BdlnflUWwr <br />I am providing the following items within my booth for the sanitary cleaning of food-preparation utensils: <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 />lam providing the following cold temperature control for the cold holding of potentially hazardous foods <br />iJcJIOW T’O r"■ <br />Bleach and Water I <br />IMPORTANT <br />ptnt°A c6X0’of t^i21^ec^n^lease make yourself a COPy Of thlS aPP|,catl0n in preparation for this <br />event. A copy of thts checklist must be in the booth at ail hours of preparation and operation. <br />Return originalLtp.' festival-SQgr^mgrtfirlwojgonths prior to this event <br />14. <br />Extia Ice Bags must be stored off <br />of the ground! <br />Food Containers must be stored off the floor' <br />Soap Dispenser I <br />Water supply dispenser (e.g. 5-20 gallons, Igloo or Coleman container with spigot). <br />jSfdne separate tub (bucket or basin) for the collection of rinse/waste water. <br />JSjjT’aper towels and pump-style soap container. <br />Page 2 <br />Names of responsible persons to be present in booth during all hours of operation: <br />J Propane Stove <br />I Cutting Board