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53 ViL\LA <br />SAN JOAQUIN <br />- COUNTY <br />a ter 1, ,ropto <br />Environmental Health Department <br />Ards&a,for <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 />Name of Event: AgFest (San Joaquin Junior Show & Auction Council) <br />Date(s) of Event: e1--1-8/24-Gtt-5124— Time of Event: 7 am - 6 Dm <br />Location: 1568 Airport Way, Stockton, CA <br />Event Coordinator (Name): Jim Hearn - Vice President Telephone: (408) 781-8134 <br />Mailing Address: PO Box 30695, Stockton, CA 95213 <br />Number of Food Booths: 7 <br />Approximate attendance at peak time: Total Attendance: Average Age: 30 <br />UTILITIES <br /> Is potable water supplied and available for each food vendor: 0 Yes 0 No <br /> Is electricity supplied and available for each food vendor: N Yes 0 No <br /> Are janitorial facilities available: J Yes 0 No <br /> Number of toilets provided: <br /> Name of sanitary garbage disposal company: Number of dumpsters: <br /> Method of disposal of liquid waste for food booths: <br />APPLICATION <br />1. Submit the following to the Environmental Health Department tv <br />Temporary Event Application <br />Application Review Fee of $162 <br />Temporary Food Vendors Applications for each booth <br />Temporary Event Site Plan <br />Food Vendor List <br /> <br />i <br />t\' 5 uJoiim ss <br /> <br />2. If the event is selected for inspection, the Event Coordinator will L <br />$162 per hour (weekdays 8:00 am to 5:00 pm) <br />After regular business hours (weekday, weekends and I <br />minimum three-hour overtime rate of $729.00 <br />This application is to be completed and signed by the Eve <br />Environmental Health Department with all Food Vendor's Applicati, <br />event. <br />I understand that as a temporary event coordinator, I am res <br />standards and the Environmental Health Department policies and <br /> <br />Event Coordinator: <br /> <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.orgiehd <br />EHD 16-02 Page 1 of 11 TEMP EVENT APP <br />06/29/2023