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Event Coordinator: L, <br />4:- <br />SANAOAQUIN <br />couNTy 4iis,Lar Greatness grows here. <br />Fick 00 -19 <br />Pc20 <br />Environmental Health Department <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: Circus Caballero <br />Date(s) of Event: August 1 - 11, 2024 Time of Event: Varies Noon to 9:30 pm, see attached <br />Location: West Valley Mall, 3200 N. Naglee Rd, Tracy <br />Event Coordinator (Name): Mark Landon Telephone: (91-.) 687-6778 <br />Mailing Address: 2534 S. Pleasant Ave., Ontario, CA 91761 <br />5. Number of Food Booths: One <br />6. Approximate attendance at peak time:400 Total Attendance200-400/ShowAverage Age: <br />UTILITIES <br /> Is potable water supplied and available for each food vendor 13 Yes D No <br /> Is electricity supplied and available for each food vendor UM Yes 0 No <br /> Are janitorial facilities available: IN Yes 0 No <br /> Number of toilets provided: Six <br /> Name of sanitary garbage disposal company: We <br /> Method of disposal of liquid waste for food boc <br />APPLICATION <br />1. Submit the following to the Environmental Hea <br />Temporary Event Application <br />Application Review Fee of $162 <br />C) Temporary Food Vendors Applicatior <br />Temporary Event Site Plan <br />Food Vendor List <br />2. If the event is selected for inspection, the Event rv-N. <br />$162 per hour (weekdays 8:00 am to <br />After regular business hours (weekda <br />minimum three-hour overtime rate of <br />This application is to be completed and sigr, <br />Environmental Health Department with all Food Vt <br />event <br />I understand that as a tempora event coordi --- <br />standards and the Environmental 1ealth Departm <br />1868 E. Hazetton Ave e I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.orgiehd El-ID 16-02 Page 1 ci 1 1 TEMP EVENT APP 06/29/2023