Instruction for Health Permit Application

Dear Vendors:
There have been many incomplete forms last year and We need your help to properly
complete the health applications. Please take a few minutes to review each line
below and compare it with your application. Make sure everything on the form is
complete and signed before emailing it back to tnysongkran2022@gmail.com. Thank you.

HOW TO FILL OUT COMMUNITY EVENT TEMPORARY FOOD FACILITY APPLICATION

Page 1:
 Name of Event: Thai New Year Festival 2022
 Event dates: 4/27/2025-4/27/2025
 Name of facility: The business name which is printed on your banner at your booth
 Event organizer: Thai New Year Corp.
 Facility operator: Put the Name of the person in charge at the booth
 Number of employees: Put the number of employees working your booth
 Mailing address: Put your business mailing address
 Telephone #: Put your contact phone number
 Email: Put your email address
 Event Address: Hollywood Blvd, Between Western and Normandie
 City: Los Angeles
 Zip: 20027
 On-site Phone: Put phone number of booth manager at the event.
 Food Operation Type: Select the correct type of vendor you are.

Prepackaged drink/food vendors may not assemble or portion
the drinks/foods for sale. All prepackaged drinks/food must be sold
in the can, bottle, or unopened packaging.

Page 2:

Food Preparation at other Location
 If you have your own restaurant or permitted facility, put the name, address, and health permit #.
 If you don’t have your own restaurant or permitted facility, you must provide
the “Shared Agreement Form”. Owner of restaurant information on the top,
signed by the owner, and your information on the bottom; signed by you. Your
name or business name does not belong on the top portion.

Food Booth Construction
 Floor Material: Asphalt
 Wall Material: Vinyl
 Ceiling Material: Vinyl Canopy
 Size of Window: 18”x24”

Page 3
Sink Requirements
 Warewashing sink with hot and cold water: Event Organizer
 Handwashing: Temporary Food Facility Operation
 Type of Handwashing sink: Self Contained Portable Sink
 Water Source: Insulated Water Dispenser.
 The volume of Water: 5 Gallons

Liquid Waste Disposal
 Removed by: Event Organizer (no grease or oil waste)
 Method of removal: Waste Tank, 50 Gallons
 Maintenance Schedule: As needed per day, as needed per hour
 Name of waster remover: AAA Rents & Events, 16010 Strathern St, Van Nuys, CA 91406. (818)785-1105

Print and sign in both areas provided.