NEPC
Produce and Floral Expo 2010
Wednesday, April 14, 2010
Hynes Convention Center
Boston, MA
Retailer of the Year
Nomination Form
Questions?
Please call the
NEPC Office at
(781) 273-0444.
For more information
contact nepc2@rcn.com
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EXPO FOOD SERVICE
PERMIT
BOSTON INSPECTIONAL
SERVICES DEPARTMENT TEMPORARY FOOD SERVICE APPLICATION NAME OF APPLICANT: ______________________________ PHONE NO. ______________ NAME OF OWNER (If different): ________________________________________________ ADDRESS OF APPLICANT: ____________________________________________________ NAME OF EVENT: NEPC Produce & Floral Expo 2010 ADDRESS OF EVENT:
Hynes Convention
Center SPECIFY DATES SIGNATURE OF APPLICANT: __________________________________________________ FOOD TO BE SERVED LIST ALL FOOD THAT WILL BE SERVED ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ ___________________________________________________________________________ PREPARATION/COOKING FACILITIES ON SITE: YES ___ NO ___ IF YES, DESCRIBE FACILITIES AND EQUIPMENT ________ ___________________________________________________________________________ OFF SITE: YES ___ NO ___ IF YES, WHERE? __________________________________ TYPE OF TABLEWARE: PAPER PRODUCTS ___ CHINA ___ DESCRIBE WARE WASHING FACILITIES FOR UTENSILS AND EQUIPMENT: ___________________________________________________________________________ FOOD PROTECTION DESCRIBE EQUIPMENT AND MEANS OF TRANSPORTING FOOD HOT (140° F OR ABOVE), COLD (45° F OR BELOW): ____________________________________________________ ___________________________________________________________________________ REFRIGERATION: REQUIRED ___ NOT REQUIRED ___ METHOD OF REFRIGERATION: ________________________________________________ ___________________________________________________________________________ TYPE OF COOKING/HOT HOLDING EQUIPMENT: __________________________________ ___________________________________________________________________________ DESCRIBE MEASURES TO PROTECT FOOD FROM CONTAMINATION DURING PREPARATION, STORAGE AND DISPLAY: _______________________________ ___________________________________________________________________________ GARBAGE AND RUBBISH DESCRIBE MEANS FOR STORAGE AND DISPOSAL: ______________________________ PERSONNEL AND FOOD HANDLING PRACTICES NUMBER OF FOOD HANDLERS: ___________ LOCATION OF HAND WASHING FACILITIES: On site - HCC LOCATION OF TOILET FACILITIES: On site - HCC HAIR RESTRAINTS PROVIDED: YES ___ NO ___ DISPOSABLE GLOVES PROVIDED: YES ___ NO ___ OFFICE USE ONLY INSPECTOR’S RECOMMENDATIONS: ___________________________________________ ___________________________________________________________________________ ACTION TAKEN PERMIT DENIED: _____ REASON FOR DENIAL: __________________________________ ___________________________________________________________________________ PERMIT GRANTED: _____ CONDITIONS: _______________________________________ ___________________________________________________________________________ INSPECTOR: _____________________________ DATE: __________________________ Register by fax or mail Send registration form to
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to: If you have any questions or
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