Temporary Food

Public Health Protection 4th floor - 1600 Third Avenue, Prince George, BC V2L 3G6 Telephone: (250) 565-2150, Fax: (250) 565-2144, www.northernhealth.ca

REQUIREMENTS FOR YOUR TEMPORARY FOOD PREMISE Food Safety Plan* Each application must be accompanied with a written set of procedures, which ensure that a health hazard does not occur. *For more information talk to a Public Health Inspector. Food Safe Certificate The on-site supervisor must have a Food Safe Certificate or equivalent. There must be one person in charge with Food Safe present at all times. Application Submit the application at least two weeks prior to the date of the function, to Public Health Protection, Northern Health Authority, 4th Floor, 1600-3rd Ave, Prince George, BC Permit to Operate Display the Permit to Operate in a prominent location at the food booth. The Permit may be mailed to the applicant or it may be picked up at Northern Health, prior to the function. Food Preparation • All foods must be prepared in an approved facility or on-site, NOT at home. • If prepared off-site, give the location and the dates of preparation. Temperature Controls for Potentially Hazardous Foods  During transportation, storage, & display, foods must kept: Below 4°C (40°F), or Above 60°C (140°F)  Provide thermometers to check temperatures of cold and hot holding. Probe thermometers are needed to check internal temperatures of foods for thorough cooking and hot holding. Food Protection  Display foods in a manner, which prevents contamination. Sanitation  Provide hot (& cold) water in a 5-gallon insulated container with a tap. Add 1 tsp bleach per gallon of hot water. Provide a basin below the tap for washing to function as a sink.  Provide soap in a dispenser and paper towels.  Provide a 5-gallon bucket to collect wastewater, for disposal in the city sanitary sewer. Garbage • Provide sufficient number of garbage containers.

PLEASE PRINT and SUBMIT AT LEAST 2 WEEKS PRIOR TO THE DATE OF THE EVENT/FUNCTION/SPECIAL OCCASION

APPLICATION FOR TEMPORARY FOOD PERMIT

Date of Application

Special Event Information Event Name: What is the common name of the Event ?

Event Location Where will the event be held? Ie: Name of Park or Community Centre

Address of Event: If held over several streets in the central business area, state ‘Downtown’

Event Coordinator: Person or Society responsible for the whole Event

Contact Info

Include Address & Phone # Where can we reach the Organizer

Event Details Start Date End Date Dates of Event Times of Event No of People Expected to Attend ▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪▪

Applicant Information Name of Temporary Food Establishment

Day Phone:

Name of Owner

Cell Phone:

Contact Person Contact Address: Who will be the contact person during the event?

Public Health Protection 4th floor - 1600 Third Avenue, Prince George, BC V2L 3G6 Telephone: (250) 565-2150, Fax: (250) 565-2144, www.northernhealth.ca

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Facility Details Type of Facility

Chain or Franchise? If Yes, please state Name Running Hot Water Present?

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Food Trailer Building on Site Mobile Cart Yes

Waste Water Disposal Method:

□ □ □

Tent / Canopy Open Air Other No

Yes

□

Piped Connection Other

Holding Tank

Waste Disposal Description Type of Food Storage (tick all applicable categories)

□ □

□ □

Cold Frozen

Food Served Perishable Food Prepared / Services? Commercially Prepackaged Food? Preparation / Packaging before Event?

□ □ □

Yes Yes Yes

Hot Dry

□ □ □

No No No

Location of Preparation Menu (include all beverages and extra ingredients served with each item)

Food Preparation How will foods be protected from contamination? (eg sneeze guard, plastic wrap)

How will potentially hazardous foods(s) be stored at proper temperatures (eg meat, fish, dairy products) (4º C/40ºF or below or 60ºC/140ºF or above)

If applicable, how will food(s) be cooked? All Food preparation will be done on-site □ Yes □ No If NO, provide detailed information as to where and when the food is being prepared, how it will be transported to the site, and by whom

Public Health Protection 4th floor - 1600 Third Avenue, Prince George, BC V2L 3G6 Telephone: (250) 565-2150, Fax: (250) 565-2144, www.northernhealth.ca

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□ □

Yes

□ □ □ □ □

Yes

Single Service Utensils will be used:

□

Yes

Staff Number of Certified Supervisors Number of Certified Food Handlers Total Number of Food Handlers (certified and non-certified) Food Safe Certificates attached

□

Yes

Thermometer provided Attach Your Food Safety Plan Hand / Ware & Surface Washing Faciities Do you have the following available? (please tick all applicable boxes) Warm Water under gravity or pressure Paper Towels Liquid Soap Basin to act as a sink Large 5 Gallon plastic Waste Container to hold Waste Water (must not be disposed of on ground or in gutter)

Yes

Yes Yes Yes Yes

Describe Method of Cleaning and Disinfecting Surfaces / Equipment / Dishes:

□

No

Signature I am familiar with good public health practices that pertain to the operation of a food premise, and declare that to the best of my knowledge, the information submitted here is accurate SIGNATURE OF APPLICANT

PRINT NAME

PHONE NUMBER:

Approval

APPROVED BY

DATE

Environmental Health Officer

Public Health Protection 4th floor - 1600 Third Avenue, Prince George, BC V2L 3G6 Telephone: (250) 565-2150, Fax: (250) 565-2144, www.northernhealth.ca