BIG WEEKEND 7 th 9 th July 2017 CATERERS APPLICATION FORM
|
|
- Britton Holland
- 5 years ago
- Views:
Transcription
1 BIG WEEKEND 7 th 9 th July 2017 CATERERS APPLICATION FORM Before completing this form, please read the Big Weekend terms and conditions which together with Environmental Health guidelines and any information given by successful applicants will form a binding contract between both parties and will be strictly enforced. Please complete all sections of the application, including the food safety questionnaire. Please complete and return this form, including any additional information (proof of Public and Products Liability Insurance, Food Hygiene certificates to level 2 or above completed within the last 3 years, menu with prices, and your catering at outdoor events risk assessment) Deadline for applications is midday Friday 10th March Your Company Details: Trading Name Contact Name Address Telephone Your Bid: See relevant terms & conditions for each type of bid you wish to submit. Please note accepted traders do not have sole rights to trade at the event Bid for a registered Catering Business Bid for Ice Cream Vans; x Vans Please submit price per van and detail number of vans Ice Cream Van Registration numbers: Please Note: All successful applicants are to pay a facilities fee of 93 in addition to your bid to provide the following: General waste, grey water and recycling facilities, access to a standing water pipe, a fenced off area behind your catering unit, toilet facilities, and power (16-amp Single Phase Ceeform only- additional power can be requested on this form) Your Dimensions: Type of unit (e.g. van, marquee, purpose built unit) Exact size of unit to trade including preparation space, tow bar etc. Length m, Width m, Height m Vehicle Registration No. (For vehicle pass) One Stock vehicle per pitch will be allowed to stay on site, inclusive of any chiller unit. Please state exact size of stock vehicle (keep to a minimum and only request if needed) Type of stock vehicle Size of stock vehicle; Length m, Width m, Height m 1 of 10
2 Stock Vehicle Registration No. (If applicable) Your Power to Unit: Each unit will have access to a 16-amp maximum draw terminating in a 16 amp Ceeform, this is included in the facilities fee. ALL additional power must be requested on this form. Do not bring your own generators unless given prior consent by the Event Manager. Additional power to unit: Additional 16-amp Single Phase 93 Additional 32-amp Single Phase 185 Upgrade of included 16-amp to 32-amp Single Phase 93 Power to Stock Vehicle 16-amp Single Phase 93 Environmental/Ethical Impact: Please outline how you propose to minimise your environmental impact and utilise ethical practices at this event (e.g. Issues such as use of green packaging and bags, sourcing free-range/organic products, using local suppliers, promoting healthy eating, fair trade, etc.) Continue on a separate sheet if necessary. Your Additional Information: Do you have Public and Products Liability Insurance? Confirm that you will only be using biodegradable food packaging Confirm that all egg products will be free range Confirm that you will only be using Fair Trade tea/coffee and hot chocolate Enclosed proposed menu and price list Have you listed all types of food/drink products to be sold? Enclosed Food Safety Pack (blank form provided) Proof of allergens list & staff training If possible please attach or enclose photos of your unit yes no yes no n/a yes no n/a yes no n/a yes no yes no yes no yes no enclosed not available 2 of 10
3 I have read and agree to the event Terms and Conditions, and confirm the details given above are correct. Signed Date Print name Once you have finished completing this form you need to do the following: 1. Save this form to your computer by clicking file/ save as form to **Don't forget to also complete the Food Safety Pack below and submit it along with any additional information by Friday 10 th March 2017 Please consider the environment before printing this form FOOD SAFETY PAPERWORK FOR CAMBRIDGE BIG WEEKEND 2017 This paperwork must be completed for each confirmed catering operation. There are 3 sections the food safety questionnaire, the gas safety checklist and the Food Safety Management Declaration. Please complete all three and return these forms (preferably via along with the application form) to the following address: sophie.osborne@cambridgelivetrust.co.uk Big Weekend 2017, Cambridge Live, 3 Parson s Court, Wheeler Street, Cambridge, CB2 3QE 1. FOOD SAFETY QUESTIONNAIRE Company Name Name of Food Business Operator Address & Postcode Telephone number address Name and address of Local Authority registered with? Date of last food hygiene inspection? Length of time company has operated this type of catering operation? Number of food handlers working at the event? Level of food hygiene training these food handlers have received prior to the event please provide photocopied evidence of training certificates. (There must be at least one level 2-3 on site at all times) Do you use a written Food Safety Management System (FSMS) and sufficient training in its use? We recommend the Food Standard Agency's Safer food, better business document is used. If yes, then this and all verification/monitoring records must be made available at the event. Please indicate which of the listed unit types will brought on to site and the number of each: Stall Marquee Purpose built unit Converted vehicle 3 of 10
4 If other, please state: Please indicate the unit size: length, width, height: Tent Other (please state) On 13 December 2014, new legislation (the EU Food Information for Consumers Regulation 1169/2011) requires food businesses to provide allergy information on all food sold unpackaged; please provide proof of allergen matrix and training records. Please list the names and addresses of the main food/drinks suppliers to be used for the event Please indicate which of the listed products are intended to be carried for sale or as an ingredient: If Other, please state: Please indicate which of the listed equipment will brought on site: If Other, please state: Please provide copies of maintenance checks for equipment being brought onto site Please indicate which power source will be used: If Other, please state: By what means will potable water be provided to the unit? Milk Cream Ice-cream Salad Egg products Raw meat/poultry Cooked meat/poultry Shellfish Fish Other (please state) Refrigerator(s) Freezer(s) Cooking Hob(s) Microwave(s) Oven(s) Grill(s) Sink(s) Hot water supply to sink Wash hand basin(s) Hot water supply to wash hand basin Soap & hand drying facilities First aid kit Other (please state) LPG Diesel Petrol Electrical generator Mains Other (please specify) How will hot water be provided on the unit for hand and equipment washing? (Where only low risk foods such as biscuits, sweets etc are for sale and utensils are used for handling food or where the food is fully wrapped, antiseptic wipes will be acceptable. Where high risk foods are handled, a fully equipped wash hand basin must be available. 4 of 10
5 Alcohol based hand gel/hand sanitiser must only be used as a supplement to handwashing.) Will any food be prepared or stored in a place other than the catering unit if so where and how? If stored elsewhere this must be protected against risk of contamination. All perishable items must be kept at or below 8 C, Preferably 5 C temperature control logs must be available onsite How will open food on display be protected from risk of contamination? Please describe how this will be achieved. Please outline the delivery arrangements for food/drinks supplies to the site? What measures will be taken to monitor and record the temperatures of high-risk food (hot and cold) being stored and displayed for service? Hot Food on display must be kept at or above 63 C if it is to be held hot for more than two hours. Suitable working thermometers with probes are required. Cold food must be kept at or below 8 C (preferably 5 C). Cold food maybe be displayed unrefrigerated for a one off period of up to four hours. List the 2 most recent outdoor event functions the business has catered at (please give event name and address) Name of person & position completing questionnaire Address & Postcode Signature Please note: All food handlers are required to have suitable protective clothing, e.g. hat, uniform, white coat etc. hair must be tied back, and nails must be short. It is not acceptable to have false/acrylic or polished nails when handling open food 5 of 10
6 Outdoor Event Gas Safety Checklist 1 Does the gas installation consist of only 1 appliance (& associated pipe work)? (E.g. gas cooker, fire, water heater, etc.) 2 Does the gas installation consist of multiple gas appliances (& associated pipe work)? (E.g. gas cooker, fire, water heater, etc.) 3 Do the gas appliance(s) belong to the stall owner? Yes/No 4 Are the gas appliance(s) rented from a reputable supplier? 5 Is there a gas inspection certificate for each gas appliance? 6 Is the gas certificate less than 12 months old? 7 Is the issuing gas engineer authorised to certificate each LPG gas appliance? 8 Is there a full flame safety device on each burner of the appliance(s)? 9 Are the gas appliances standing on a secure, non-flexible, fire-resistant base (for ground/floor mounted appliances), or secured to a stable fire-resistant upright (for wall-mounted appliances)? 10 Are the areas surrounding (by at least 600mm) and above the appliances shielded by non-combustible, heat-resistant material? 11 Is there an air-gap of at least 600mm between the appliance and any marquee or tent material or any other combustible material? 12 Are the LPG cylinders outside of the tent or marquee, or occupied part of the food mobile? 13 If the LPG cylinders are stored on a food mobile, are they in a secure and ventilated container? 14 Is there sufficient ease of access to the LPG cylinders to allow their isolation in the event of an emergency? 15 Are the LPG cylinders vertical and prevented from falling? 16 Are the LPG kept clear of any entrances or emergency exits? 17 Are the LPG cylinders kept out of reach of the public? 18 Is there an isolation valve or regulator fitted to the gas cylinder to allow the gas to be isolated when not in use? 19 Are there excessive gas cylinders present at the unit? (There should be 1 cylinder in use & 1 spare for each gas supply line) 20 Are additional spare gas cylinders available but stored in a secure, remote, external location away from ignition sources? 21 Is the gas pipe entirely a flexible (rubber) pipe? 22 Is the gas pipe partially rubber but significantly a metal pipe? 23 Is the gas pipe securely fastened to the cylinder and appliance by use of a single use crimp? (Jubilee clips should be discouraged) 24 Have you checked that no combustible materials can be blown against, or fall onto the apparatus? Is a member of staff, appropriately trained in the safe use of LPG, present in the unit / stall at all times? 6 of 10
7 Food Safety/Health and Safety Fire Safety Management Declaration From 1 January 2006 new European Community Food Hygiene Regulations replaced the previous Food Safety (General Food Hygiene) Regulations Proprietors of food businesses are still required to identify food safety hazards and risks relevant to their business, and to put in place procedures to prevent problems. However, you are now also required to provide written evidence that your procedures to ensure food safety have been thought through carefully and are being properly applied. To comply with this law you must have in place the following. This will be checked on site. To comply with this law you must have in place the following. Please provide copies of these with your application. These will also be checked on site. Public and product liability insurance. (And employer s liability insurance if applicable) A written health and safety risk assessment is required covering the activities undertaken by the business Copies of food hygiene training certificates for employees working at the event (to at least level 2 or above) A copy of your allergen information and proof of any training your staff have done. Please enclose a copy of your fire risk assessment (see form below) A written Food Safety Management System (FSMS) should be in place covering all aspects of the food business. It should include details of the training required and undertaken as well as the cleaning practices, stock rotation, food traceability and your opening and closing checks. The Food Standard Agency's Safer food, better business document meets this requirement and may be suitable for your purposes. A copy of this can be downloaded via the City Council Food Safety web pages DECLARATION I on behalf of declare that all above listed documentation and systems are in place and will be available for inspection at any time during the named event. I confirm that this food business is registered with (insert name of Local Authority) Signed. Date.. 7 of 10
8 8 of 10
9 9 of 10
10 10 of 10
Street Address: Apartment/Unit #: Address: Street Address: Apartment/Unit #: QUALIFIED FOOD OPERATOR (INCLUDE COPY OF CERTIFICATE) YES NO
EVENT INFORMATION Event Name: TOWN OF SOUTH WINDSOR HEALTH DEPARTMENT 1540 Sullivan Ave., South Windsor, CT 06074 Mailing Address 1530 Sullivan Ave., South Windsor, CT 06074 Office Address Phone Number:
More informationREQUIREMENTS FOR FOOD VENDORS AT SPECIAL EVENTS
REQUIREMENTS FOR FOOD VENDORS AT SPECIAL EVENTS CITY OF HAMILTON PUBLIC HEALTH SERVICES HEALTHY ENVIRONMENTS DIVISION FOOD SAFETY PROGRAM 110 King Street West 2nd Floor Hamilton, ON L8P 4S6 Telephone:
More informationSPECIAL EVENT APPLICATION FOR FOOD VENDORS
SPECIAL EVENT APPLICATION FOR FOOD VENDORS City of Hamilton, Healthy Environments Division Attention: Special Events Public Health Services 110 King St W, 2 ND Fl Hamilton, Ontario L8P 4S6 2019 - VENDOR
More informationTelephone: Mobile Number.
Royal Welsh Show July 24-27 2017 Application for Tradestand Space Closing Date for Entries 1st March 2017 No Application is Valid Unless Payment is Received with Application. Please Complete in BLOCK Capitals
More informationTemporary Food Service Requirement Checklist and Application
SIOUX FALLS HEALTH DEPARTMENT Environmental Temporary Food Service Requirement Checklist and Application Sioux Falls Health Department 521 North Main Avenue, Suite 101 Sioux Falls, SD 57104-5963 (605)
More informationSPECIAL EVENT LICENSE APPLICATION PACKAGE FOR APACHE COUNTY MINIMAL FOOD BOOTH AND MOBILE FOOD UNIT (MFU) REQUIREMENTS
SPECIAL EVENT LICENSE APPLICATION PACKAGE FOR APACHE COUNTY INSTRUCTIONS Please call (928)337-7607 or (928) 337-7532 if you have any questions or need assistance with any part of this application. Submit
More informationBladen County Temporary Food Establishment Vendor Application
Bladen County Temporary Food Establishment Vendor Application Each food vendor must make application Bladen County Environmental Services at least fifteen (15) calendar days prior to the event. An application
More informationROBBINSVILLE TOWNSHIP HEALTH DEPARTMENT 2298 ROUTE 33 ROBBINSVILLE, NJ
ROBBINSVILLE TOWNSHIP HEALTH DEPARTMENT 2298 ROUTE 33 ROBBINSVILLE, NJ 08691 609-936-8400 REQUIREMENTS FOR TEMPORARY FOOD LICENSES The Robbinsville Health Department licenses and inspects all temporary
More informationChapter 3 Food Safety
Chapter 3 Food Safety Purchasing and receiving food Food storage Food preparation Cooking and food service Catered food Leftovers Facility maintenance and construction Equipment and utensils Dishwashing
More informationPhone (573) Fax (573) Temporary Food Stand
Temporary Food Stand A temporary food stand (TFS) is defined as a food service establishment which operates at a fixed location for a temporary period of time, not to exceed fourteen (14) consecutive days
More informationGood Hygiene Practices for Catering at Outdoor Events/Farmers Markets/Mobile Food Traders
Good Hygiene Practices for Catering at Outdoor Events/Farmers Markets/Mobile Food Traders Anyone selling food or drink from a market stall must comply with food hygiene legislation. This leaflet gives
More informationOne Day Event / Festival or Stall Holders
One Day Event / Festival or Stall Holders Food Act 2014 Please answer the following questions about food safety at your place of Food Business Full legal name of applicant: Name of Business (if relevant)
More informationSPECIAL EVENTS. Food Vendor Requirements
SPECIAL EVENTS Food Vendor Requirements Special Event Food Vendor Requirements Peterborough Public Health works to ensure that all special events (festivals, fairs, fundraisers, etc.) will be as safe as
More informationSTANDARD HEALTH GUIDELINES. for TEMPORARY FOOD ESTABLISHMENTS
STANDARD HEALTH GUIDELINES for TEMPORARY FOOD ESTABLISHMENTS Operating in Newfoundland and Labrador Department of Health and Community Services Disease Control and Epidemiology Division FOOD2002-SHG-04
More informationSpecial Event Temporary Food Establishment
Special Event Temporary Food Establishment Vendor Package January 2012 Special Event: Temporary Food Establishment Special Event Temporary Food Establishment Vendor Package Table of Contents Part 1 - Temporary
More informationYakima Health District 1210 Ahtanum Ridge Drive Union Gap, Washington Phone (509) Fax (509)
Yakima Health District 1210 Ahtanum Ridge Drive Union Gap, Washington 98903 Phone (509) 575 4040 Fax (509) 575 7894 http://www.yakimapublichealth.org Food Service License Checklist Prior to the Yakima
More informationCITY OF STAMFORD DEPARTMENT OF HEALTH & SOCIAL SERVICES
CITY OF STAMFORD DEPARTMENT OF HEALTH & SOCIAL SERVICES TEMPORARY FOODSERVICE REQUIREMENT CHECKLIST & APPLICATION 888 Washington Blvd. Stamford, CT 06901 Phone 203-977-4399 Fax 203-977-5882 www.cityofstamford.org
More informationCITY OF GREATER GEELONG
WWW.GEELONGAUSTRALIA.COM.AU CITY OF GREATER GEELONG HEALTH SERVICES DOMESTIC KITCHEN & BED & BREAKFAST OPERATIONAL GUIDELINES All Victorian food businesses that handle, prepare, package, store, serve,
More informationPLAN REVIEW CHECKLIST
DEPARTMENT OF HEALTH Ground Floor, County Office Building, 7 Court Street, Belmont, New York 14813 Phone: (585)268-9250 Fax: (585)268-9264 Start Date of Construction: PLAN REVIEW CHECKLIST Anticipated
More informationVENDOR PACKAGE. Table of Contents. Table of Contents... Page 1. Vendor Responsibilities... Page 2. Requirements for Special Events...
SPECIAL EVENTS TEMPORARY FOOD ESTABLISHMENT VENDOR PACKAGE Table of Contents Table of Contents... Page 1 Vendor Responsibilities... Page 2 Requirements for Special Events... Page 2 Sink Requirements for
More informationGUIDELINES FOR FOOD SERVICE AT SPECIAL EVENTS Revised April 2014 DEFINITION:
GUIDELINES FOR FOOD SERVICE AT SPECIAL EVENTS Revised April 2014 DEFINITION: Special Event Food Service - means a booth, structure or mobile unit constructed to provide food service at exhibitions, fairs,
More informationMorgan County Health Department 180 S. Main St., Ste. 252, Martinsville, IN Phone: Fax:
Morgan County Health Department 180 S. Main St., Ste. 252, Martinsville, IN 46151 Phone: 765-342-6621 Fax: 765-342-1062 Food Establishment Plan Review Packet To prospective food establishment owner: This
More informationPre Audit Checklist Be prepared and confident that you are 100% compliant!
Introduction: Pre Audit Checklist Be prepared and confident that you are 100% compliant! This reference has been prepared by Gavin Buckett, the Founder and Managing Director of AGB Solutions Pty Ltd, to
More informationSpecial Events Food Vendor s Requirements. The Health Department has been notified that you will be serving food/drinks at an event in Halton Region.
Special Events Food Vendor s Requirements Dear Food Vendor: The Health Department has been notified that you will be serving food/drinks at an event in Halton Region. Each year, every food vendor must
More informationFarmington Valley Health District 95 River Road, Suite C Canton, CT Phone (860) Fax (860)
Avon Barkhamsted Canton Colebrook East Granby Farmington Granby Hartland New Hartford Simsbury APPLICATION FOR TEMPORARY FOOD SERVICE PERMIT All vendors serving food and beverages to the public on a temporary
More informationsafefood for life Quiz
safefood for life Quiz Section 1: Introduction to food hygiene 1. Define the term food worker 2. Give 3 legal requirements for a food worker a. b. c. 3. List 3 causes of food poisoning. a. b. c. 4. What
More informationWINNEBAGO COUNTY HEALTH DEPARTMENT GUIDELINES FOR THE CHAIRPERSON FOR SAFE FOOD HANDLING AT SPECIAL EVENTS
WINNEBAGO COUNTY HEALTH DEPARTMENT GUIDELINES FOR THE CHAIRPERSON FOR SAFE FOOD HANDLING AT SPECIAL EVENTS Due to the nature, location, and variety of conditions surrounding the operation of temporary
More informationRe: Royal Welsh Winter Fair 27 November & 28 November 2017 Tradestand Forms
Ref: WF/2017 August 2017 Cymdeithas Amaethyddol Frenhinol Cymru Llanelwedd Llanfair-ym-Muallt Powys LD2 3SY Royal Welsh Agricultural Society Llanelwedd Builth Wells Powys LD2 3SY Dear Exhibitor Re: Royal
More informationFOOD ESTABLISHMENT LICENSE APPLICATION Fee Required with Submission of Application
Serving: Grant Mercer Morton Oliver Sioux Counties www.custerhealth.com 403 Burlington St SE Mandan, North Dakota 58554 701-667-3370 Fax: 701-667-3371 1-888-667-3370 FOOD ESTABLISHMENT LICENSE APPLICATION
More informationFood preparation, cooking and service
screen 1 Food preparation, cooking and service This screen shows a kitchen scene with a number of hazards to food safety. As a starting point students are encouraged to look at the screen and suggest things
More informationCITY OF HARTFORD VENDOR TEMPORARY FOOD LICENSE APPLICATION
PEDRO E. SEGARRA Mayor CITY OF HARTFORD DEPARTMENT OF HEALTH AND HUMAN SERVICES Environmental Health Division 131 Coventry Street Hartford, Connecticut 06112 Telephone: (860) 757-4760 Fax: (860) 722-6677
More informationPortage County Temporary Food License Application
Portage County Temporary Food License Application License Fees February 1, 2018-January 31, 2019 Commercial $214.00 Noncommercial $107.00 Please submit a copy of your 501(c)(3) paperwork to verify your
More information2. Location of Event: 3. Dates/times of Operation: Begin Date: Begin time: End date: End Time: 4. Organization/business name: 5.
TEMPORARY FOOD SERVICES PERMIT APPLICATION YADKIN COUNTY HUMAN SERVICES PO BOX 457 YADKINVILLE, NC 27055 TELEPHONE 336-679-4244 A Temporary Food Service Permit Application- Must use this application if
More informationStall Holders Welcome. Stall Requirements
Welcome The Merriwa Festival of the Fleeces Committee would like to invite you to paticipate as a stall holder at the 29th Festival of the Fleeces, to be held on the 8th of June 2019. Merriwa s annual
More informationHACCP Applications (Hazard Analysis Critical Control Points) Key vocabulary and definitions
HACCP Applications (Hazard Analysis Critical Control Points) Key vocabulary and definitions Clean Free of visible soil such as dirt, dust or food waste. Cross Contamination Transfer of harmful microorganisms
More informationKENT COUNTY ENVIRONMENTAL HEALTH Guidelines and Procedures for Special Events Temporary Food Service Permits
KENT COUNTY ENVIRONMENTAL HEALTH Guidelines and Procedures for Special Events Temporary Food Service Permits A temporary food service permit is required for all public events where the event is open to
More informationTEMPORARY FOOD. Operator s Guide FACILITIES.
TEMPORARY FOOD FACILITIES Operator s Guide www.rivcoeh.org 2 T his booklet has been developed to assist you, the food service operator, in operating a temporary food facility in a safe and sanitary manner,
More informationTORONTO PUBLIC HEALTH FORMS
TORONTO PUBLIC HEALTH FORMS Please find attached all documents you must review for the Toronto Public Health Department. Please review all pages and fill out pages 3, 4, and 5 and fax back. Important Notes:
More informationThe following four (4) pages are the Rules and Regulations for establishing and operating Domestic Kitchen Facilities in Tennessee.
CPA Info # 138 January 2007 The following four (4) pages are the Rules and Regulations for establishing and operating Domestic Kitchen Facilities in Tennessee. RULES OF TENNESSEE DEPARTMENT OF AGRICULTURE
More informationX $75.00 = # of Temporary Food Establishment (TFE) Applications Associated with Event
One Stop Permitting 500 N. Main Street Suite #47 Monroe, NC 28112 T. 704.283.3553 https://ucinspect.unioncountync.gov/evolvepublic/ EVENT ORGANIZER APPLICATION The Event Organizer Application and all Temporary
More information2018 Mobile Packet Darke County Health Department 300 Garst Avenue, Greenville, Ohio 45331
Frequently Asked Questions What is a mobile food service operation? It is a food service operation that is operated from a movable vehicle, portable structure, or watercraft and that routinely changes
More informationTOWNSHIP OF MONTCLAIR HEALTH DEPARTMENT MONTCLAIR, NJ TEL: # (973)
HEALTH DEPARTMENT MONTCLAIR, NJ 07042 TEL: # (973) 509-4970 Inspection Date: 12-06-01 RETAIL FOOD INSPECTION REPORT Activity Type: Evaluation: CHAPTER 24 CONDITIONAL JUST JAKES OWNER NAME: LSZ,INC TRADE
More informationFill out and upload in the Exhibitor Registration system online All forms and staff badges must be uploaded by NOV. 1st
Please review all pages and fill out the details below for the Toronto Public Health Department. Send completed forms back to Show Management at the fax or email below. Important Notes: Customers cannot
More informationSpecial Event Temporary Food Establishment
1 Special Event Temporary Food Establishment Vendor Package May 2014 2 Special Event Temporary Food Establishment Vendor Package Table of Contents Part 1 - Temporary Food Establishment Application (For
More informationMobile Food Services & Establishments
Mobile Food Services & Establishments Rules and Regulations Uniform Food Code Plan Review, Approval and Licensing Regulations This booklet is intended to be a brief outline of some requirements needed
More information2019 Orange County Black History Cultural Faire Commercial Food Vendor Information
2019 Orange County Black History Cultural Faire Commercial Food Vendor Information ATTENTION: Cultural Faire Commercial Food Vendor Participants Attached you will find information from the Orange County
More informationTEMPORARY FSO/RFE PLAN REVIEW APPLICATION AND GUIDELINES. Working to build healthy communities every day
TEMPORARY FSO/RFE PLAN REVIEW APPLICATION AND GUIDELINES Working to build healthy communities every day Warren County Health District 416 S. East Street Lebanon, Ohio, 45036 (513) 695-1220 www.warrenchd.com
More informationMOBILE FOOD PLAN REVIEW APPLICATION
Ravalli County Environmental Health 215 South 4 th Street Suite D Hamilton, MT 59840 (406) 375-6565 FAX (406) 375-6566 MOBILE FOOD PLAN REVIEW APPLICATION Mobile Food Establishment (MFE) means a retail
More informationC O U N T Y O F N E V A D A C O M M U N I T Y D E V E L O P M E N T A G E N C Y Sean Powers, Director FOOD FACILITY SELF INSPECTION
C O U N T Y O F N E V A D A C O M M U N I T Y D E V E L O P M E N T A G E N C Y Sean Powers, Director E N V I R O N M E N T A L H E A L T H D E P A R T M E N T Amy Irani, REHS, Director 9 5 0 MA ID U A
More informationGila River Indian Community Environmental Health Services (EHS) Guidelines for Temporary Food Establishments BOOTHS & TENTS
Gila River Indian Community Environmental Health Services (EHS) Guidelines for Temporary Food Establishments PERMIT APPLICATION An application MUST be submitted to Environmental Health Services at least
More informationHEALTH DEPARTMENT Environmental Health, Mosquito Control, Neighborhood Protection, Stormwater, and Animal Services
CITY OF BAYTOWN HEALTH DEPARTMENT Environmental Health, Mosquito Control, Neighborhood Protection, Stormwater, and Animal Services 220 W. Defee P.O. Box 424 Baytown, Texas 77522-0424 Phone: (281) 420-5384
More informationFill out and upload in the Exhibitor Registration system online All forms and staff badges must be uploaded by NOV. 8th
Please review all pages and fill out the details below for the Toronto Public Health Department. Send completed forms back to Show Management at the fax or email below. Important Notes: Customers cannot
More informationTemporary Food Establishment (TFE) Application
Guilford County Dept. of Health & Human Services Division of Public Health Environmental Health Section 1203 Maple Street Greensboro, NC 27405 Date Received: (office use only); Contact Name: Best Contact
More informationAPPLICATION FOR - TEMPORARY EVENT FOOD BOOTH PERMIT
151 N. Main Street Environmental Health, Suite 140 Tooele, Utah 84074 Phone (435) 277-2440 Fax (435) 277-2444 www.tooelehealth.org APPLICATION FOR - TEMPORARY EVENT FOOD BOOTH PERMIT **APPLICATION AND
More informationTemporary Food Premises Application Review and complete all relevant parts of this form
This form must be completed and returned to the Show Producers: Executive Event Production Inc. fax: 778.564.3947. (Do not send to Fraser Health) Deadline for receipt in our office is October 23rd, 2017
More informationFOOD ESTABLISHMENT PLAN REVIEW APPLICATION. Ogle County Health Department 907 West Pines Road Oregon, Illinois
FOOD ESTABLISHMENT PLAN REVIEW APPLICATION Ogle County Health Department 907 West Pines Road Oregon, Illinois 61061 815-732-7330 1 OGLE COUNTY HEALTH DEPARTMENT FOOD ESTABLISHMENT PLAN REVIEW APPLICATION
More informationKANKAKEE COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH 2390 W. Station Kankakee, IL Telephone (815) Fax (815)
KANKAKEE COUNTY HEALTH DEPARTMENT DIVISION OF ENVIRONMENTAL HEALTH 2390 W. Station Kankakee, IL 60901 Telephone (815) 802-9410 Fax (815) 802-9411 AMT. RECD. CASH CHECK CHARGE RECD BY DATE RECD APPROVED
More informationTemporary & Special. Guide To. Food Service Events. For Garfield County Have a GREAT event!!!
Water and Ice - Ice for human consumption must be made from drinking quality water and drained. - Ice that comes in contact with drink bottles or food containers must not be used for consumption. - Drinking
More informationSafe method: Chilled storage and displaying chilled food Harmful bacteria can grow in food that is not chilled properly.
Safe method: Chilled storage and displaying chilled food Harmful bacteria can grow in food that is not chilled properly. Safety point Why? How do you do this? Certain foods need to be kept chilled to keep
More informationName of Establishment/Vendor. Establishment Phone. Applicant s Name Applicant s Title (Owner, Manager, Architect, etc.) Address City State Zip
New Hanover County Health Department Environmental Health Services 230 Government Center Dr., Suite 140 Wilmington, NC 28403 Telephone (910) 798-6667, Fax (910) 798-7815 Food Establishment Plan Review
More informationENVIRONMENTAL HEALTH INFORMATIONAL BULLETIN
ENVIRONMENTAL HEALTH INFORMATIONAL BULLETIN TO: FROM: Commercial Temporary Event Food Vendors & Commercial Event Coordinators City of Berkeley, Division of Environmental Health SUBJECT: Temporary Food
More informationTHREE RIVERS HEALTH DISTRICT APPLICATION FOR A TEMPORARY FOOD ESTABLISHMENT PERMIT
THREE RIVERS HEALTH DISTRICT APPLICATION FOR A TEMPORARY FOOD ESTABLISHMENT PERMIT Health Department Use Only: Date Application received Amt Received: $ How was fee paid? Cash Check No Credit Card Auth
More informationHealth for All: Promote. Prevent. Empower. INSTRUCTIONS FOR COMPLETING APPLICATION FOR A TEMPORARY FOOD ESTABLISHMENT PERMIT
APPALACHIAN DISTRICT HEALTH DEPARTMENT DISTRICT OFFICE: 126 Poplar Grove Connector, Boone, NC 28607 Telephone 828-264-4995 Fax 828-264-4997 www.apphealth.com Health for All: Promote. Prevent. Empower.
More informationSPECIAL TRANSITORY FOOD UNIT (STFU) AND MOBILE FOOD ESTABLISHMENT PLAN REVIEW AND STANDARD OPERATING PROCEDURE (SOP) WORKSHEET
SPECIAL TRANSITORY FOOD UNIT (STFU) AND MOBILE FOOD ESTABLISHMENT PLAN REVIEW AND STANDARD OPERATING PROCEDURE (SOP) WORKSHEET STFU/MOBILE Name: Owner: Address: State/Zip: City: Phone: STFU OR MOBILE Date:
More informationOttawa County Health Department Leading the Way to Food Safety
Ottawa County Health Department Leading the Way to Food Safety www.miottawa.org This document is for educational purposes only and should not be considered a substitute for studying the 2005 FDA Food Code
More information2017 International Plowing Match (IPM)
2017 International Plowing Match (IPM) Huron County Health Unit 519-482-3416 or 1-877-837-6143 huronhealthunit.ca ipmevent This document is available in alternative formats upon request. Dear Food Vendor:
More informationAudit detailed Information. Shift: N/A. 18-Jul-15 10:44 PM. Responsible Team Name. [Follow storage instructions on. product label.
Audit: Shift: N/A A Food Safety & HACC Audit [V1.1] Audit Date : 18Jul15 10:44 M Auditor: Cian McSweeney Total NonCompliance: 33 Overall Score: 69.59% Client Name: Food Safety and HACC Audit arameter Audit
More informationAPPLICATION FOR TEMPORARY FOOD PERMIT WESTERN TIDEWATER HEALTH DISTRICT (Please Print or Type)
APPLICATION FOR TEMPORARY FOOD PERMIT WESTERN TIDEWATER HEALTH DISTRICT (Please Print or Type) Health Dept. Use Only Date Rec. Date Rev. Date Permitted: Comments: This application must be submitted 4 business
More informationPhone Numbers: work home/cell. EVENT INFORMATION (one event coordinator s application shall be submitted for each event in addition to this form)
Application for Temporary Restaurant Permit **Please apply 10 days prior to the event ** (applications may not be accepted less than 48 hours before an event) Please Print Today s Date Name of Organization
More informationTemporary Food Service Events
Checklist for Temporary Food Service Establishments Items you may need for your food service event: Digital or dial instant read thermometer (0-220 F range) or thermocouple Alcohol pads for sanitizing
More informationDefinitions. Community event
T E M P O R A R Y F O O D F A C I L I T I E S A T P U B L I C E V E NTS Definitions Community event An event that is of a civic, political, public or educational nature, including state and county fairs,
More informationMobile Unit Requirements
Mobile trucks, trailers, and carts all require additional information to obtain approval. To avoid a delay in the approval of your application be sure to review the following information and answer the
More informationMSU Extension Publication Archive. Scroll down to view the publication.
MSU Extension Publication Archive Archive copy of publication, do not use for current recommendations. Up-to-date information about many topics can be obtained from your local Extension office. Selling
More informationFOOD PREPARATION AND SERVICE - PART 3 SELF INSPECTION CHECKLIST
OPTIONAL INFORMATION Name of School: Date of Inspection: Vocational Program/Course/Room: Signature of Inspector: FOOD PREPARATION AND SERVICE - PART 3 Guidelines: This checklist covers some of the regulations
More informationSpecial Transitory Food Unit (STFU) & Mobile Food Establishment (MFE) Plan Review Worksheet
Washtenaw County Public Health Environmental Health Division 705 N. Zeeb Road, P.O. Box 8645 Ann Arbor, MI 48107-8645 Phone: (734) 222-3800 Fax: (734) 222-3930 www.ewashtenaw.org Special Transitory Food
More informationHEALTH DEPT. INFORMATION FORM
HEALTH DEPT. INFORMATION FORM Company Name: Step 1: Return the signed Vendor Registration Form as soon as possible via email to aridenour@carrollhospitalcenter.org or via fax at 410-871-6210! Step 2:By
More informationREQUEST FOR QUOTATIONS. Janitorial Services
REQUEST FOR QUOTATIONS Janitorial Services The Strathcona Regional District invites quotations from qualified contractors for semi-weekly janitorial services for its Corporate Office located at 990 Cedar
More informationCONSUMER HEALTH SERVICES PLAN REVIEW PACKET
CONSUMER HEALTH SERVICES PLAN REVIEW PACKET Purpose: The Consumer Health Services Plan Review Packet is intended to provide guidance and assistance in complying with the Wyoming Food Safety Rule. It includes
More informationCOMMUNITY EVENT FOOD VENDOR REQUIREMENTS. CONSTRUCTION SECTION: These are items that deal with the construction or setup of the food booth.
County of Fresno DEPARTMENT OF PUBLIC HEALTH EDWARD L. MORENO, M.D., M.P.H. DIRECTOR-HEALTH OFFICER COMMUNITY EVENT FOOD VENDOR REQUIREMENTS CONSTRUCTION SECTION: These are items that deal with the construction
More informationTEMPORARY FOOD SERVICE PLAN REVIEW
Flathead City-County Health Department Environmental Health Services 1035 First Ave. West Kalispell, MT 59901 (406) 751-8130 FAX 751-8131 www.flatheadhealth.org Community Health Services 751-8110 FAX 751-8111
More informationGuide to Starting a Food Business
Guide to Starting a Food Business Seneca County General Health District Environmental Health Division 71 S. Washington St., Suite 1102 Tiffin, OH 44883 (419) 447-3691 Every new or significantly altered
More informationOperational Statement Mobile Food Preparation Unit EH Office Use Only Approved By:
Operational Statement Mobile Food Preparation Unit EH Office Use Only Approved By: A. OWNER INFORMATION Date: 1. Date: 2. Your business name: 3. Your name: 4. Your address: 5. Your city and ZIP code 6.
More informationPLAN REVIEW CHECKLIST
AEGHENY COUNTY HEATH DEPARTMENT FOOD SAFETY PROGRAM PAN REVIEW CHECKIST Anticipated Start of Construction Date: Anticipated Completion Date: INSTRUCTIONS: Complete all sections of the Plan Review Checklist.
More information1 W. Winter St. PO Box 570 Delaware, OH Phone: (740) Fax: (740)
1 W. Winter St. PO Box 570 Delaware, OH 43015 Phone: (740)368-1700 Fax: (740)368-1736 FOOD ESTABLISHMENT PLAN REVIEW APPLICATION Instructions: 1. Complete all applicable sections below 2. Sign and Date
More informationGUIDELINES FOR TEMPORARY FOOD FACILITIES
Bureau of Environmental Health Protection 601 Westtown Road Suite 288 P O Box 2747 West Chester, PA 19380-0990 Telephone: 610-344-5938 Fax #: 610-344-5934 www.chesco.org/food GUIDELINES FOR TEMPORARY FOOD
More informationFOOD SAFETY AT TEMPORARY EVENTS
FOOD SAFETY AT TEMPORARY EVENTS Are your hot foods hot? Cold foods cold? Equipment and utensils clean? TABLE OF CONTENTS 14 Steps to Safe and Sanitary Food Service Events... 1 The Top Six Causes of Foodborne
More informationSpecial Events Food Vendor s Requirements
HEALTH DEPARTMENT HEALTH PROTECTION SERVICES Tel: 905-825-6000 Fax: 905-825-8797 Toll free: 1-866-4HALTON (1-866-442-5866) April 2008 Special Events Food Vendor s Requirements Dear Food Vendor: The Halton
More informationTexas Food Establishment Rules Retail Food Establishment Inspection Form 2015
Texas Food Establishment Rules Retail Food Establishment Inspection Form 2015 City of Lubbock Environmental Health Department Jeanne Valdez, R.S. Environmental Health Specialist II Inspection Form Sections
More informationFood Safety Audit Checklist What to Expect When Being Inspected
Food Safety Audit Checklist What to Expect When Being Inspected Don t you wish there was an easy way to prepare for inspections? Well we have created a checklist to help you! Not only do we take pride
More informationWINTER SHELTER FOOD HYGIENE AND KITCHEN SAFETY
WINTER SHELTER FOOD HYGIENE AND KITCHEN SAFETY Guidelines are that: For other than serving refreshments, on each occasion when the kitchen is used there must be a team leader who takes responsibility for
More informationFOOD SAFETY CHECKLIST For Food Fundraisers, Food Shows, and Food Demonstrations
FOOD SAFETY CHECKLIST For Food Fundraisers, Food Shows, and Food Demonstrations If you will be selling or serving food to the public, keep it clean, temperature safe, and avoid cross contamination. Use
More informationPhone (573) Fax (573) Temporary Food Stand
CAPE GIRARDEAU COUNTY PUBLIC HEALTH CENTER Environmental Services 1121 Linden Street, P.O. Box 1839 Cape Girardeau, MO 63702-1839 www.cgcohealthdept.com Phone (573) 335-7846 Fax (573) 334-6572 Temporary
More informationCONTRACT FOR HIRE OF THE COMMUNITY CENTRE CONDITIONS OF HIRE
Stoke Mandeville Village Community Association Eskdale Park, Eskdale Road, Stoke Mandeville, HP22 5UJ REGISTERED CHARITY NUMBER 277618 Tel: 01296 615458 Email: smvca@btconnect.com CONTRACT FOR HIRE OF
More informationMobile Food Program. Pushcarts
Mobile Food Program Pushcarts Table of Contents Introduction... 2 Examples of Food Sold by Pushcarts... 2 Mobile Food Program Office Hours... 3 Permits... 3 Definitions... 4 Commissary... 5 Plan Submittal...
More informationApplication for Temporary Food Establishment Permit. Please complete ONE APPLICATION PER EVENT, not one application per vendor.
AUSTIN/TRAVIS COUNTY HEALTH AND HUMAN SERVICES DEPARTMENT ENVIRONMENTAL AND CONSUMER HEALTH UNIT 15 Waller Street Austin, Texas 78702 Phone (512) 972-5600 Fax (512) 972-5630 Permit # Date Paid Check #
More informationQueen Anne s County Department of Health Environmental Health Division
Queen Anne s County Department of Health Environmental Health Division 206 N. Commerce St, Centreville, MD 21617 Phone: (410) 758-2281 Fax: (410) 758-6602 APPLICATION FOR CLASS 2 TEMPORARY FOOD SERVICE
More informationTEMPORARY FOOD ESTABLISHMENT GUIDELINES
TEMPORARY FOOD ESTABLISHMENT GUIDELINES Personnel 1. A minimum of a two gallon insulated container with a spigot, and a basin, soap and dispensed paper towels, shall be provided for hand washing. The container
More information2. Location of event: Downtown Winston-Salem, 4th St. between Spring and Spruce, and Poplar and Holly Street and Winston Square Park
TEMPORARY FOOD SERVICE PERMIT APPLICATION FOR VENDORS (Each Food Booth Operator must provide the following information) 15A NCAC 18A.2600 defines a temporary food establishment as those who sell food or
More informationHunterdon County Department of Public Safety Division of Public Health Services
Hunterdon County Department of Public Safety Division of Public Health Services Karen DeMarco, Health Officer Physical Address: 312 Route 12 County Complex, Building # 1, 2nd Floor Mailing Address: PO
More informationManchester Health Department 1528 Elm Street Manchester NH Tel: (603) , Fax: (603)
1528 Elm Street Manchester NH 03101 Tel: (603) 624-6466, Fax: (603) 628-6004 TEMPORARY FOOD PERMIT APPLICANTS Enclosed are the requirements and an application for a permit to operate a temporary food establishment
More information