Permit Request • CampusOptics

1. Permit must be completed prior to beginning food service.

2. Complete permit thoroughly.

3. Have items always listed in the Agreement on hand during food service.

4. Obtain ALL Required Signatures.

5. Keep a copy of the signed Temporary Food Permit on site at ALL times during food service.

If you have further questions, please contact the Safety Department, General Services Building, Suite 214.

Mr. Fredrick Holts, Director of Environmental Health and Safety 713-313-1921

The Organization listed will comply with all safety measures for the duration of this event,

to include having the following items on site:

1 x ABC 10lbs. Fire Extinguisher
Hairnets or Hats
Equipment
3 x Buckets of Water to

(washing, rinsing, sanitizing)

Food Protection
Single Service Articles
Gloves
Waste Disposal
Ceiling Protection/ Tent

Guidelines for Food Handling

Ice used for consumption must be from an approved source. (Store)
Ice shall be held in bags until used and dispensed properly.
Food contact surface of equipment shall be protected from contamination by consumers: use separating counters, tables, sneeze guards, etc.
Provide only single-service articles.
Provide potable water for cleaning and sanitizing utensils.
Do not store any food in contact with water/ un-drained ice.
Dispose of all liquid and solid waste properly.
No eating, drinking smoking in the food booth.
Protect food that is served:

Keep HOT food at 140°F or above
Keep COLD food at 41°F or below

Provide a ceiling in food preparation and service areas. (Wood, canvas, or other material that protects the interior of the establishment from the weather and other agents)

The Safety Department may impose additional requirements to protect against health hazards related to the conduct of the temporary food establishments and may prohibit the sale of some or all potentially hazardous foods.

Please type for Location: Ernest S. Sterling Student Life Center 148 SLC,

then give your Assigned Space if applicable.

Requester Info

Email Address* Required

Phone Number* Required

First Name* Required

Last Name* Required

Permit Date & Time

Start Date* Required

Start Time* Required

Expiration Date* Required

Expiration Time* Required

Location

Name* Required

Additional Location Details

Food Vendor Only (not with truck)

Name of the Event* Required

Name of the Group or Organization * Required

List ALL food, liquids, and solids to be served: You can attach a form with the supporting documents tab below.* Required

List the Name and Phone # of each of the following / Organization Faculty Advisor / Organization President / Person preparing food:

If you are a TSU organization, please provide your Organization Faculty Advisor* Required

Signature by typing my name here it confirms my signature. * Required

Add Supporting Documents

Add files to upload as supporting documentation along with your permit request.

Files