EPARTMENT OF ENVIRONMENTAL HEALTH

633 WASHINGTON STREET, ROOM 36
   RED BLUFF, CA 96080
Phone (530) 527-8020 Fax (530) 527-6617

   Tia Branton REHS Director

Permits will not be issued without prior payment and paperwork submission (to TCEH) for EACH Food Booth/Mobile. Permits will be given after inspection of booth/mobile.

                 SPECIAL EVENT COORDINATOR CHECK LIST
Name of Event: _____________________________	Date(s) & Time(s) of Event: ____________________	
Location of Event: ___________________________	Total Number of Food Vendors: ________________	
Coordinator’s Business Name: _______________________________	Phone #: _______________________	
Contact Person: ___________________________________________	Email: _________________________	
       PLEASE COMPLETE THE FOLLOWING AT LEAST TWO WEEKS PRIOR TO THE EVENT:

•	Submit a list of Food Vendors scheduled to be at the event and verify they have applied/paid and submitted all required paperwork to TCEH (633 Washington Street RM 36)

•	Submit a site plan indicating the proposed locations for the temporary food facilities, restrooms and all shared utensil washing, hand washing, trash/garbage and janitorial facilities

•	Verify that each Food Vendor has applied for the correct level of permit (pre-packaged or prepared foods, non-profit, mobile food facility)

•	Verify that each vendor and employee of vendor that handle non-prepackaged food have proof of Food Safety Training

•	Review the COMMUNITY EVENT TEMPORARY FOOD FACILITY STRUCTURAL AND OPERATIONAL REQUIREMENTS packet (see attached)

•	Verify there are adequate toilet room facilities—at least one toilet facility for each 15 employees (including volunteers) within 200 feet of each temporary food facility shall be provided.  Each toilet room shall have hot and cold running water, hand cleanser and single-use sanitary towels in permanently mounted dispensers

•	Verify there is an adequate janitorial facility, complete with hot and cold running water from a mixing valve

VENDOR LIST

Name of Event: __________________________________________________________

Date(s) of Event: ______________________________ Total # of Vendors: ___________

Business Name/ Contact Person	Business City and State	*(P) or (NP)	Brief Menu Description	

				

				

				

				

				
   *Indicate whether business is Profit (P) or Non-profit (NP)

          PREVENT • PROMOTE • PROTECT