CITY OF MIDLOTHIAN TEMORARY FOOD ESTABLISHMENT PERMIT REQUEST ***ALL FOODS MUST BE PREPARED ON SITE OR AT A PERMITTED FACILITY***

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CITY OF MIDLOTHIAN TEMORARY FOOD ESTABLISHMENT PERMIT REQUEST ***ALL FOODS MUST BE PREPARED ON SITE OR AT A PERMITTED FACILITY*** FOOD PREPARATION: Food shall be obtained from approved sources and be in sound condition. Food shall be prepared only in permitted or licensed establishments, or on site. Food prepared in a private home is not allowed. ALL PERMIT FEES MUST BE PAID WITH EXACT CASH OR CHECK. DEBIT AND CREDIT CARDS NOT ACCEPTED PERMIT FEE $30.00 PER TEMPORARY FOOD PERMIT AND PERMIT FEES ARE NON-REFUNDABLE SPECIAL EVENT: DATE OF EVENT: TIME OF OPERATION: FROM: TO: LOCATION OF EVENT: EVENT COORDINATOR: PHONE: EMAIL: APPLICANT NAME: BUSINESS NAME: DO YOU OPERATE FOOD ESTABLISHMENTS AT OTHER LOCATIONS? IF SO, PROVIDE NAME AND ADDRESS FOOD ITEM TO BE SERVED*** PLACE OF PREPARATION AND STORAGE *** NOTE: Only authorized food and beverages listed above that have been approved by the City of Midlothian may be served. Is your company a 501.c.3 (NOT FOR PROFIT) organization? Yes No (if yes, a copy of 501.c.3 required) I attest that the information provided is true and accurate. I agree to comply with the City of Midlothian rules and regulations and understand that failure to do so my result in revocation or suspension of the permit. The permit is valid for the dates of the specific event only. Attach copy of menu, if available. The permit is not transferable. Permit fee is not refundable. In accordance with state law, unless the event falls into the list approved in the TFER, No Homemade Goods are allowed to be sold or offered. All consumable products (must be prepared in a certified commercial kitchen and labeled according to regulatory requirements of the State of Texas or prepared on site. This permit is limited to food operations at the event the permit is issued for. Food Operations at any other event requires a separate Temporary Food Permit and permit fee. I have received, read the application and guidelines for safe food handling. I attest the information provided is true and understand that if I am not in compliance with these regulations may be closed immediately. ( signature) date) Applicant Driver s License Number EMAIL: PHONE: ORGANIZER OF EVENT OR APPLICANT MUST PROVIDE A RECEIPT FROM THE EVENT ORGAINZER OR WRITTEN PROOF THAT PARTICIPANT HAS BEEN ACCEPTED AS A VENDOR FOR THE EVENT. DOCUMENTATION MUST BE SUBMITTED WITH THE TEMPORARY FOOD PERMIT APPLICATION BE SUBMITTED TO THE CITY OF MIDLOTHIAN AT LEAST 7 DAYS PRIOR TO THE EVENT. APPROVED BY:

Approved by Code Enforcement Date 1150 N HWY 67 Suite 300 MIDLOTHIAN, TX 76065 (972) 775-7614 1150 N HWY 67 Suite 300 MIDLOTHIAN, TX 76065 (972) 775-7614 TEMPORARY FOOD ESTABLISHMENT- The term, temporary food establishment applies to an establishment that operates at a fixed location held from one to five days. Temporary food permits may be obtained for $30.00. Any person or business establishment offering food or drink for a special event that is such as Special Shopping Event, Girls Night Out, etc. is required to have a temporary food establishment for the event. Only items food and drink items that are commercially prepared, or food and drink made at the event are allowed to be offered for sale or sample at a privately organized event for the public. Food and Drink items cannot be prepared at a home and offered for sale or sample at the event. PERMIT REQUIRED- Persons vending or offering samples of food or beverage products are required to have a valid Temporary Food Establishment Permit for the event. Temporary Food Establishment Permits are available through the City of Midlothian Police Department Monday through Friday 8:00 a.m. to 5:00 p.m. Permit fees are non-refundable and should be secured 7 days prior to the event. Vendors who fail to secure TFP prior to 7 days before the event may not be issued a TFP. Events are subject to inspection. Please note- Vendors (such as Insurance Agencies or Real Estate Agencies) that only offer commercially, pre-packaged food (like chocolate sandwich cookie or bottled water) that are not potentially hazardous and is not subject to time and temperature control (by TFER), must submit a permit application, but will not be subject to the temporary permit fee. GENERAL INFORMATION- In accordance with the Texas Food Establishment Regulations, if business operation is for profit, No Cottage Law Items may be offered. Homemade Goods are NOT allowed to be sold or offered. The statute specifies particular locations where the cottage food production operation may sell products. Privately organized special events and other locations are not allowed under the statute. Please see specific information below regarding what Cottage Law products are allowed and not allowed at events. Also please be aware Cottage Vendors may participate in events in accordance with State Law. If you have a question whether an event is a municipal, county or non-profit or private event, please contact the organizer of the event or the City of Midlothian Health Department at 972-775- 7614. Illegal, unpermitted food vendors will be subject to immediate closure and/ or citations. 76065 MIDLOTHIAN, TX 76065

Code Enforcement COTTAGE LAW VENDORS PLEASE NOTE--- A COTTAGE FOOD PRODUCTION OPERATION may sell products at the individual s home; a farmer s market; a farm stand; a municipal fair, festival or event; a county fair, festival or event and a nonprofit fair, festival or event. A COTTAGE FOOD LAW VENDOR IS NOT ALLOWED TO OFFER, SELL OR SAMPLE AT AN EVENT OTHER THAN THOSE EVENTS LISTED ABOVE. The question comes up, may a cottage food production operation sell products anywhere else, such as at my friend s business location, or take an order to my mom s business and sell from there or have the person pick the items up from there or sell to a commercial restaurant or at an event is not listed above? The short answer is no. The statute specifies particular locations where the cottage food production operation may sell products (listed above). Privately organized special events and other locations are not allowed under the statute. AS A COTTAGE LAW VENDOR WHAT CAN I OFFER? What are some examples of foods that can be prepared at a cottage food production operation? The following are examples of non-potentially hazardous foods that may be prepared and sold at a cottage food production operation: Breads, rolls, biscuits, Sweet breads, muffins Cakes (birthday, wedding, anniversary, etc. Pastries, Cookies Candy Coated and uncoated nuts Unroasted nut butters Fruit butters Canned jams or jellies Fruit pies Dehydrated fruit or vegetables, including dried beans Popcorn and popcorn snacks Cereal, including granola, Dry mixes Vinegar Pickles Mustard

Code Enforcement Roasted coffee or dry tea Dried herbs and dried herb mixtures What types of foods are not allowed to be sold at a cottage food production operation? The following foods are examples of food that cannot be produced by a cottage food production operation. Fresh or dried meat or meat products including jerky Canned fruits, vegetables, vegetable butters, salsas etc. Kolaches with meat Fish or shellfish products Canned pickled products such as corn relish and sauerkraut Raw seed sprouts Bakery goods which require any type of refrigeration such as cream, custard or meringue pies and cakes or pastries with cream cheese icings or fillings Milk and dairy products including hard, soft and cottage cheeses and yogurt Fresh fruits dipped or coated in chocolate or similar confections; fresh vegetables, and juices made from fresh fruits or vegetables Ice or ice products Barbeque sauces and ketchups Foccaccia-style breads with vegetables or cheeses Chocolate covered graham crackers, Rice Krispy treats Dried pasta Sauerkraut, relishes, salsas, sorghum Lemonade, juices, hot chocolate or similar beverages Temporary food vendors may completely prepare items on site of the event- example: grill burgers, cook hot dogs, grill chicken, etc. However, no preparation of food items can be started at home and finished off at the event (such as marinating foods or starting to smoke brisket etc) of site of the special event location. NON-PROFIT VENDORS- CHARITY ONLY FUNDRAISER ONLY- WHERE ALL PROCEEDS ARE GIVEN TO THE 501.C.3 (Example- Boy Scouts, National Honor Society, Church Fundraiser for Mission Trip, American Heart Association, etc.) If your organization is a non-profit organization (church, school, etc) and items are being sold as a fundraiser with all proceeds being given to the non-profit, you may provide a copy of your IRS letter showing you are a non-profit and the temporary food permit fee may be waived. However, even if the fee is waived, you must get a permit 7 days before the event. If a fundraiser event, homemade goods may be allowed with appropriate labeling and approval from the City of Midlothian Code Enforcement staff. SELLING EGGS Selling of Eggs- In accordance with the TDH and the TFER, if someone offers eggs (as the producer), you must still have a temporary food permit AND the eggs must be transported and kept at a temperature of 45 degrees or less. Product must be labeled as being ungraded and have the name and the address of the producer with a safety warning on the cartons.

Code Enforcement FOOD MANUFACTURERS If you have a food manufacturers license through the State of Texas and want to participate at an event, please provide a copy of the manufacturers license with your temporary food permit application. GENERAL INFORMATION AND REQUIREMENTS FOOD HANDLERS- General Safety Standards and Protocol for General Food Safety Avoid food handling when you have the following symptoms: Diarrhea; Vomiting; Sore throat with fever; Persistent coughing, sneezing or nasal discharge; Wound containing pus upon your fingers, hands or wrists; Yellowish eyes or skin with dark colored urine. Personnel that handle food must wash their hands as frequently as necessary. Disposable gloves are allowed; but the use of gloves does not substitute for hand washing. The use of tobacco in all forms is prohibited in the food preparation and service area. Personnel will not eat or drink in the food preparation or service area. Avoid touching food with bare hands by using utensils, disposable gloves, deli tissue, tongs, or other acceptable means. Reminder, Ice is considered a PHF. Separate scoops are required for ice dispensing. Separate ice is required for dispensing and cooling. WATER SUPPLY/ UTENSIL WASHING/ HAND WASHING- Potable water must be from an approved source and kept on-site in sufficient quantities. Utensil Washing- those vendors that do not have 3 compartment sinks with hot and cold running water must provide: Three (3) sturdy plastic or stainless steel buckets or tubs or adequate size to be used for utensil cleaning and sanitizing. One bucket or tub shall be used to wash (soapy water); One bucket or tub shall be used to rinse (clean, clear water); One bucket or tub shall be used to sanitize (liquid chlorine bleach/ water solution with 2 teaspoons of bleach per gallon of water). Use chlorine test strip to verify proper strength of 50 to 100 ppm. WASH RINSE SANITIZE

Code Enforcement Hand Washing- Soap, paper towels and a minimum 5-gallon container of water with a spigot that remains open to wash both hands shall be provided for hand washing. In addition, a bucket/ basin to catch wash water shall be provided. EXAMPLE OF HANDWASH STATION Hand washing stations (example above) for containing warm water: No galvanized metal containers Spigots must be able to be turned on and stay on (without holding open) while washing both hands under the flow of warm water. Each hand washing station must have a catch basin at bottom. CHECKLIST- Valid temporary food establishment permit Food from an approved source; No food prepared in a private home. Adequate supply of potable water at booth Adequate containers, covers, wrapping or other means to effectively protect food from insects and other environmental contamination; Hand wash stations set up and ready for use (soap, paper towel and minimum 5 gallon container with warm with spigot that remains open to wash both hands) Utensil cleaning station (make-shift 3 compartment sink) Enough equipment provided to hold ALL Cold Foods at 41 degrees F. or below and ALL Hot foods at 135 degrees F or above; insulated chests must be used to keep Potentially Hazardous Foods (PHF) o such as chicken, steaks, milk, pork, turkey, custards, eggs, mayonnaise, etc. on ice and 41 F or below during transport, cooking and service; Probe-type metal stem food thermometer with proper range (0 to 220 F) Utensils and disposable gloves to minimize bare hand contact with food; Workers have no open sores and are free of illnesses as listed in guidelines; Workers keep hands clean and wash hands frequently; No bare hand contact with ready to eat food; (Checklist continued)

Code Enforcement Condiments are in single service, pump type or squeeze containers; Chlorine test strips to check and verify the level of sanitizer (in the 3 compartment wash station) is not toxic; levels of chlorine should not be above 50 ppm. Completed Temporary Food Establishment Permit Applications are received in person at the City of Midlothian Police Department located at 1150 N. Hwy 67, Monday through Friday, 8:00 a.m. to 5:00 p.m. or through the mail. The City of Midlothian must receive your application and appropriate fees 7 days prior to the event. Fees may be paid with exact cash or checks. Credit or Debit Cards ARE NOT accepted. Permit Applications must be received and approved PRIOR to vendor set up at an event. Permit and Fees will NOT be accepted at the event. NOTE- PLEASE CONTACT THE FIRE MARSHAL S OFFICE OR VIEW THE MIDOLTHIAN FIRE DEPARTMENT WEBSITE TO DETERMINE IF OTHER REGULATIONS OR PERMITS MAY APPLY. If additional information is needed, please contact: Debbie Lubke or Rebecca Jones at 972 775 7614 (phone) or via Fax at 972-775-7632.

Midlothian Fire Department Fire Code Requirements for Special Events GENERAL REQUIREMENTS 1. All Special Events shall be in compliance with the 2015 International Fire Code (IFC) as amended, and all other applicable codes and ordinances. 2. Adequate and unobstructed access for emergency vehicles and personnel (easily removable barricades, cones, etc.) shall be maintained at all times. Fire lanes and fire hydrants shall not be obstructed at any time. 3. Crowds and gatherings of 1,000 or more people shall be in compliance with IFC Chapter 4. A Public Safety Plan and trained crowd managers may be required. FOOD TRUCKS, TRAILERS AND COOKING OPERATIONS 1. All food trucks and trailers cooking food on site shall be in compliance with fire code requirements for commercial cooking operations. Food truck and trailer owners shall submit proof of fire code compliance to the Fire Marshal s Office a minimum of five days prior to the event. Documentation shall be submitted, mailed or emailed to the address below. Inspection records shall remain with the vehicle for three years. Cooking appliances producing grease vapors inside food trucks and trailers shall be protected with a Type I commercial cooking hood and a UL300 fire suppression system. Both shall be compliant with IFC and NFPA 96 requirements. All fire protection equipment shall have a current annual inspection tag from a licensed fire protection contractor (every six months for cooking hood fire suppression systems). Cooking hoods shall have documentation of cleaning by a professional cleaning contractor within the last six months. 2. Food trucks and trailers shall not be parked within ten feet of any structure or building, or within 15 feet of a fire hydrant. 3. A minimum of one 2A:10BC fire extinguisher is required for each cooking operation. Food trucks and trailers, and any appliances producing grease vapors (grills, griddles, burners, fryers), shall also have a Class-K fire extinguisher. All fire extinguishers shall have a current annual inspection tag from a licensed fire protection contractor. 4. All open flame cooking (smokers, BBQ grills, etc.) shall contain all open flames, embers and grease run-off and shall not be located within ten feet of any combustible materials, structures or buildings. All cooking appliances shall be located where access is restricted to cooking staff only and not be directly accessible to the public. ELECTRICAL AND HOUSEKEEPING 1. All electrical equipment shall be in compliance with NFPA 70, the National Electrical Code. Extension cords shall be adequate for the device, properly grounded, un-damaged and not create a tripping hazard. No exposed wiring allowed. Generators shall at least ten feet away from vehicles, structures and buildings, and not be accessible to the public. 2. General housekeeping shall be neat and organized. Combustible and flammable materials shall be a minimum of three feet from ignition sources. Fuel gas systems shall be in good condition and in compliance with Federal, State and Local requirements. TENTS AND MEMBRANE STRUCTURES 1. Tents and membrane structures shall be in compliance with IFC Chapter 31. Tents and membrane structures (including bounce houses) over 400 square feet in size shall require a permit from the Fire Marshal s Office and have a fire inspection completed prior to occupancy. A label with the size and type of material shall be attached to all tents and membrane structures. All tents and membrane structures shall be anchored properly and per the manufacturers recommendations. a. Exception: Tents open on all sides and under 700 square feet in size. 2. Tents over 400 square feet in size, and not meeting the exception above, shall have the following: a. A copy of the flame retardant treatment certification shall be provided to the Fire Marshal. b. Illuminated exit signs c. Egress illumination lights d. One or more 2A:10BC fire extinguishers e. No Smoking signs. f. No open flames or cooking (without approval) g. Ten-foot clearance from building and other tents. h. All electrical wiring and equipment shall be in compliance with NFPA 70 Electrical Code. 3. Tents and membrane structures shall not be located in fire lanes or emergency access routes. Vendors found to be non-compliant with fire code requirements will not be allowed to continue operations. The 2015 IFC and amendments may be viewed at: http://www.midlothian.tx.us/589/international-fire-code Revised: 02-01-2018 Midlothian Fire Marshal s Office 100 W. Avenue F Midlothian, TX 76065 972-775-7662 fire.marshal@midlothian.tx.us