Temporary Food Establishment Application For Vendors Form - Denville Division Of Health, New Jersey Page 3

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Denville Temporary Food Vendor Application 
Page 3 
 
Where will food be stored prior to the event? 
Approved Kitchen 
Trailer 
Purchased day of the Event 
Other:  __________________________________________________________________ 
 
How will food be served/dispensed?  SELF SERVICE BY CUSTOMERS IS NOT PERMITTED.   
______________________________________________________________________________
______________________________________________________________________________ 
 
How will food be protected from the public and insects? 
Sneeze guards  
Wrapped 
Covered 
Describe the source of water and ice:  
______________________________________________________________________________
______________________________________________________________________________ 
NOTE:  Ice must be from an approved commercial source only and in single service plastic bags 
filled and sealed at the point of manufacture.   
Describe the hand washing facilities: 
______________________________________________________________________________
______________________________________________________________________________ 
NOTE:  At a minimum vendors selling unwrapped products/engaging in food preparation must 
supply a temporary hand wash station consisting of a 5 gallon thermal (insulated) container 
with a spigot that provides a continuous flow of warm (90‐110° F) running water, soap, paper 
towels and a 5 gallon bucket to collect the dirty water.  
Restroom Facilities 
Within 200 Feet 
Same building as the event 
Portable toilets with hand wash stations 
Garbage: 
Covered garbage receptacles provided by the event coordinator or vendor 
Dumpster located on‐site 
Will collect and haul away 
I WILL ABIDE BY THE ENCLOSED TEMPORARY FOOD STAND REQUIREMENTS AND THE NJ 
STATE SANITARY CODE.   
______________________________________________________________________________ 
                                               Signature (Person in Charge)/Date 

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