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2024 International Plowing Match and Rural Expo

Public Health Special Events Notification Form

Vendor Application

 

O. Reg. 493/17: FOOD PREMISES under Health Protection and Promotion Act, R.S.O. 1990, c. H7.  A person who gives notice of an intention to commence to operate a food premise to the medical officer of health under subsection 16 (2) of the Act shall include his or her name, contact information and the location of the food premise in the notice.

Vendors must submit completed applications to the Ontario's Plowmen's Association along with their IPM Food Vendor Application before AUGUST 26, 2024. Please note, this form is not the IPM Food Vendor Application. Visit www.plowingmatch.org to access the Food Vendor Application.

This form will be submitted to the Ontario Plowmen's Association. Once the application is reviewed, it will be submitted to the HKPr Ditrict Health Unit.

  If you are looking for HKPR District Health Unit's General Special Events Application (for all other events that are not the International Plowing Match), please visit www.hkpr.on.ca/SpecialEventsPermit 

 

 

This Notification Form is to notify the Haliburton, Kawartha, Pine Ridge District Health Unit of:
 
Participating Dates
 
Water Supply:
 
Sewage:
 
Garbage Disposal
 

 

Applicant Information:

Business Location
 
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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

 

Food Items Served:

Add Additional Food Remove Food Item

 

Operation Information:

Booth Location
 
Certified Food Handler On-Site
 
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Allowed extensions pdf, doc, docx, xls, xlsx, jpg, jpeg, gif, png, tif

Potable Water Supply
 
Handwashing Facilities
 
Sanitizing Agent (ie. bleach, QUAT)
 
Sanitizer Test Strips
 
Dishwashing
 
Booth Ceiling
 
Thermometers (ie. probe, indicator)
 
Single Use Items
 
Cold Holding Equipment:
 
Hot Holding Equipment:
 
Cooking Equipment:
 

Please contact the Health Unit to discuss the legal requirements, review plans and/or conduct a pre-operational assessment prior to the proposed event.

HKPR District Health Unit, Environmental Health 
P: 1-866-888-4577 ext. 5006
E: inspections@hkpr.on.ca 

Any personal and personal health information that you may provide on this form is collected under the authority of relevant legislation including: the Health Protection and Promotion Act, as amended, the Regulated Health Professions Act, the Immunization of School Pupils Act, and the Personal Health Information Protection Act. This information will be used for assessment, management, treatment, and reporting purposes. Your information may be shared within the Health Unit as required by legislation. For information about the collection, use and disclosure of your information, please refer to the Health Unit website at www.hkpr.on.ca or contact the Medical Officer of Health, 200 Rose Glen Road, Port Hope, Ontario, L1A 3V6 or 1-866-888-4577.

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