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SACOAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />ikiFoce <br /> <br />Greatness grows here. <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: Lodi Wine Experience <br />Date(s) of Event: May 19, May 20 Time of Event: 5/19 (5:30-10:00pm), 5/20 (10:30am-3:30pm) <br />Location: Lodi Lake Park, 1101 W Turner Rd, Lodi, CA, 95242 <br /> <br />4. Event Coordinator (Name):Jenny Heitman Telephone: (209) 367-4727 <br />Mailing Address: 2545 W Turner Rd, Lodi, CA, 95242 <br /> <br />5. Number of Food Booths: 5 <br />6. Approximate attendance at peak time: 1,500 Total Attendance: 2,000 Average Age: 45 <br />UTILITIES <br />Is potable water supplied and available for each food vendor: ZI Yes El No <br />Is electricity supplied and available for each food vendor: Kl Yes El No <br />Are janitorial facilities available: E Yes Ei No <br />Number of toilets provided: Approx. 17 <br />Name of sanitary garbage disposal company: Waste Management Number of dumpsters: 5 plus multiple <br />totes <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 />Temporary Event Application <br />Application Review Fee of $156 <br />Temporary Food Vendors Applications for each booth <br />Temporary Event Site Plan <br />Food Vendor List <br />2. If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br />$156 per hour (weekdays 8:00 am to 5:00 pm) <br />After regular business hours (weekday, weekends and holidays) the inspection is charged at a <br />minimum three-hour overtime rate of $702.00 <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 />Jenny Heitman 05-01-23 Event Coordinator: Date: <br />1868 E. HazeIton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/ehd <br />END 16-02 Page 1 of 11 TEMP EVENT APP <br />06/19/19 <br />Internal or contained disposal