Laserfiche WebLink
SANdOAQUIN <br />COUNTY <br />Greatness grows here, <br />Pe.0 ‘•-t 2_01 <br />Ev 00 a s9, <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 />Name of Event: City of Tracy - Blues, Brews & BBQs <br />Date(s) of Event: October 5, 2024 <br /> <br />Time of Event: 12:00pm-6:00pm <br />Location: Front Street Plaza <br />Event Coordinator (Name): Lauren Repetto <br />Mailing Address: 6th Street and Central Avenue <br /> <br />Telephone: (209)831-6994 <br /> <br />Number of Food Booths: 1 <br />Approximate attendance at peak time: 800 Total Attendance: 1,000 Average Ag <br />UTILITIES <br />1. Is potable water supplied and available for each food vendor: N(Yes El No <br />Is electricity supplied and available for each food vendor: Yi Yes LI No <br />Are janitorial facilities available: RfYes 0 No <br />Number of toilets provided: 10 <br />Name of sanitary garbage disposal company: Tracy Disposal Service Number of dumpsters: 2 <br />Method of disposal of liquid waste for food booths: NA <br />APPLICATION <br /> <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 $172 <br />C) Temporary Food Vendors Applications for each booth <br />Temporary Event Site Plan <br />Food Vendor List <br /> <br />2. If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br />$172 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 $774.00 <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 />Event Coordinator: Lauren Repetto Date: 9/27/2024 <br /> <br />'1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I vvww.sjgov.orgiehd <br />EHD 16-02 Page 1 of 11 TEMP EVENT APP <br />07/01/2024 <br />30-35