Application for Food Serving Permit - 03-2018.doc 3/5/2019
Department of Environmental Health & Safety
Application for Food Serving Permit
Permit must be submitted 5 business day prior to event
SECTION I: EVENT INFORMATION
(To be completed by the event coordinator) Today’s Date
University Organization/Group Event Date
Name of Event Coordinator Event Time (Start) (End)
Telephone No. E-mail
Approved BBQ or Event Location
Approved location where food will be prepared and cooked: Farm Pavilion Kitchen Other approved location:
__________________________________________________ Food to be served: describe what will be cooked and list ALL ingredients
_________________________________________________________________________________________________________________
How will your food be prepped (no prep needed, purchased pre-prepped, prepped at approved location)?
_________________________________________________________________________________________________________________
Condiments/toppings: how will these be served (i.e. to customers using clean utensils, single serve packets, squeeze type containers.)
_________________________________________________________________________________________________________________
Method of cooking food and keeping it hot (if applicable)
Method of storing perishable foods (if applicable)
List utensils to be used for preparing and/or serving food on campus (bowls, pitchers, cups, knives, etc.)
If heating or cooking food outdoors on campus, choose one of the following:
Charcoal: Requires hose and quill for fire suppression purposes. Non-potable water (ground water) cannot be used for drinking water.
NOTE: Any coals remaining after cooking cannot be disposed of on campus.
Propane: Requires an ABC Fire Extinguisher. Questions on how to operate a fire extinguisher please contact EHS at 898-5126.
Trailer BBQ: Approval of appropriate insurance requirements must be met.
NOTE: If heating and/or cooking food outdoors, you must reserve a portable hand washing station and fire extinguisher or hose
hooked up to a water source for the day of the event.
As the Event Coordinator I accept responsibility for this event. I understand it is my responsibility to inform any person who will be handling
food of the guidelines set forth in the attached Health and Sanitation Requirements for Food Servers.
Signature: Date:
(Event Coordinator)
Signature: Date:
Tentative Approval (SLL or Facilities Reservations)
============================================================================================================
SECTION II: FOOD SERVING PERMIT (Please contact EHS at 898-5126 for review of Permit)
Approved (unconditional)
Approved (conditional) Denied
Conditions:
The above stated organization is hereby given permission to serve the items listed on this application on campus and must meet all applicable
requirements as stated in the Health and Sanitation Requirements for Food Servers (attached.)
Food Serving Permit Approval Date:
(Environmental Health and Safety Representative)
============================================================================================================
SECTION IV: EVENT APPROVAL (To be completed by CSU, Chico Staff)
1.) Event Approval Date:
(Student Life & Leadership Representative, Facilities Reservations)
APPROVED PERMIT MUST BE PROMINENTLY DISPLAYED DURING EVENT
(See next page for information on Health & Sanitation Requirements for Food Servers.)
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Application for Food Serving Permit - 03-2018.doc 3/5/2019
Department of Environmental Health & Safety
Health and Sanitation Requirements for Food Servers
Any group serving food on campus that will be made available to the general public must obtain a Food Serving Permit (except
the exemptions list below). Food that is offered for consumption on campus must be prepared in a commercial kitchen or at
your specified tabling location. No food or beverage can be prepared or cooked in a private residence (with the exceptions of
potlucks as defined below).
Once completed, a printed version must be available for inspection on-site where food is being served. Full compliance with
the California Retail Food Code is required. Applicants must read and understand all Health and Sanitation Requirements for
Food Server Before Signing
EXEMPT CATEGORIES (permit not required):
Professionally catered food (must still get approval from Risk Management).
Potlucks (organizations and departments may share food prepared at home and without a food serving permit, at the
personal risk of participants, if the food is offered for free and the potluck is in a closed setting (non-public, invited
guests, members only).
Any food made and contained (canned, bottles, or packaged) by a licensed producer that is to be served in the original
container and does not require temperature control.
Fruits washed and uncut.
Popcorn, if made in a standard commercial popper.
Brownies, cookies, donuts, and unfilled cupcakes.
Coffee and tea (without dairy product)
Soft-drinks (punch, lemonade, soda)
PROHIBITED ITEMS (unless preapproved by EHS)
Poultry of any kind
Deep-frying
Whole cuts of pork. Only sliced, pulled, and cubed allowed.
FOOD STAND/BOOTH
Must be located in a pre-approved reserved space.
Must have separate food preparation and customer service areas; customers must not have access to food
preparation area.
Metal or plastic surfaces only. No wooden surfaces may be used.
Sanitize table before food preparation and cooking begins.
OUTDOOR-COOKING ON CAMPUS
Location of Cooking Equipment: pre-approved equipment used to perform open or barbecue cooking shall be placed
only at approved locations on concrete, asphalt or dirt paths. Map of pre-approved barbeque locations can be found
on the EHS website. The cooking/barbecue equipment must be located more than 25 feet away from any building,
flammable fence, structure, or tree and must be more than 50 feet away from any building ventilation intake.
Barbeques cannot be under tents or canopies.
Fire Suppression: an operational water hose connected to a water source must be available at all cooking sites where
charcoal grills are used prior to the start of any cooking. When a propane grill is used an ABC fire extinguisher must
be available.
Disposal of Coals: any coals remaining after cooking shall be allowed to cool and shall be removed from campus by
the event coordinator/sponsor. Ashes and or/charcoal shall not be dumped anywhere on the campus grounds, in any
bushes, shrubs, or planting area, in storm drains, along creek bank or in the creek.
PREVENTING FOODBORNE ILLNESS
Hand washing facility with running water shall be provided for food handlers. Hand washing detergent or soap and
single-service towels shall be provided.
All food handlers preparing, handling, or serving food shall always wear clean outer garments and keep their hands
clean while engaged in handling food, beverage, or utensils. All such food handlers shall wash their hands and arms
with soap and warm water before commencing work.
Gloves should be worn if physically touching food products.
All multi-use utensils and other equipment use in connection with the preparation, service, and display of food, shall be
kept clean and in good repair.
Single-use eating and drinking utensils must be handed out to consumers.
Application for Food Serving Permit - 03-2018.doc 3/5/2019
Waste shall be removed and disposed of in a sanitary matter as frequently as necessary. Adjacent areas shall be
kept clean and free of litter.
All perishable food or beverage shall be maintained at or below a temperature of 40° Fahrenheit prior to them being
served and for the duration of service. Similarly, when food being maintained hot for serving, or while being served
hot, shall be kept in devices which maintain the temperature of all portions of food above 140° Fahrenheit.
The person handling cash and or cards may not handle any food items without washing hands prior.
Unwrapped foods must be served with tongs, spatulas, or large spoons.
Keep food covered to prevent contamination from insects, air-borne contaminants, etc.
Customers are not allowed to self-serve food. This includes toppings and condiments that are not in squeeze-type
containers, dispensers, or single-use packets.
All foods and beverages obtained from a licensed retail food vendor shall be picked up just prior to the actual
scheduled serving time. Early pick-ups are not allowed due to the potential of improper storage.
No wooden items may be used (utensils, serving spoon, bowls, cutting boards, etc.)
Do not accept any food from an unlicensed food vendor.
To prevent tampering, never leave food unattended.
TO REPORT A FOODBORNE ILLNESS CASE
Call Environmental Health and Safety at 898-5126