Laserfiche WebLink
SAN 10 A Q U I N Environmental Health Department <br /> C 0 u r"l T r <br /> Greotness grow, dere. <br /> TEMPORARY EVENT APPLICATION <br /> To be completed and signed by Event Coordinator, then returned to the Environmental Health Department with all <br /> of the Food Vendor's Applications no later than two weeks prior to event <br /> GENERAL EVENT FILE INFORMATION <br /> 1. Name of Event: Downtown Tracy Taps on Tenth-Craft Beer Tasting Event <br /> 2. Date(s) of Event: Saturday,April 6, 2019 Time of Event: 4PM to 8PM <br /> 3. Location: 10th St. between A St. and Central Ave. Tracy, CA 95376 <br /> 4. Event Coordinator(Name): Kristin Barrios Telephone: (209) 597-0379 <br /> Mailing Address: 20 W. 11th St. Tracy, CA 95376 <br /> 5. Number of Food Booth . 2 <br /> 6. Approximate attendance )ak time: 4PM to 8PM Total Attendanc Average Ag <br /> UTILITIES <br /> 1. Is potable water supplied and available for each food vendor: Yes ❑ No <br /> 2. Is electricity supplied and available for each food vendor: N(Yes ❑ No <br /> 3. Are janitorial facilities available: ❑ Yes S(No <br /> 4. Number of toilets provided: 10 portables, 1 handicap portable, 4 hand-washing stations <br /> 5. Name of sanitary garbage disposal company: Tracy Delta Disposal Number of dumpsters: <br /> 6. Method of disposal of liquid waste for food booths: <br /> APPLICATION <br /> 1. Submit the following to the Environmental Health Department two weeks prior to the event: <br /> a) Temporary Event Application <br /> b) Application Review Fee of$152 <br /> c) Temporary Food Vendors Applications for each booth <br /> d) Temporary Event Site Plan <br /> e) Food Vendor List <br /> 2. If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br /> • $152 per hour(weekdays 8:00 am to 5:00 pm) <br /> • After regular business hours (weekday, weekends and holidays)the inspection is charged at the <br /> hourly rate, calculated at one and one half times ($228 per hour) <br /> This application is to be completed and signed by the Event Coordinator, then returned to the <br /> Environmental Health Department with all Food Vendor's Applications no later than two weeks prior to the <br /> event. <br /> I understand that as a temporary event coordinator, I am responsible for meeting California State <br /> standards and the Environmental Health Department policies and procedures. <br /> Event Coordinator: Kristin Barrios, District Manager Date: 03/11/2019 <br /> 1868 E. Hazelton Avenue ( Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjcehd.com <br /> EHD 16-02 Page 1 of 11 TEMP EVENT APP <br /> 07/3/17 <br />