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j7K ocy 353 <br />Lk <br />tcoPF' <br />SAN JOAQUIN <br />COUNTY— <br />Greatness grows here. <br />4'x <br />Prooett„,( <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: Egyptian Festival <br />Date(s) of Event: September 28-29, 2024 Time of Event: Sat 10am-9pm, Sun 10am-6pm <br />Location: St. Mark Coptic Orthodox Church: 315 Orange Avenue, Ripon, CA 95366 <br />Event Coordinator (Name): Sally Elsakr Telephone: (20 613-7828 <br />Mailing Address: 201 BlossorView Place, Modesto, CA 95356 <br /> <br />5, Number of Food Booths: One food, one dAert, grilling ;Aations, drink station. <br /> <br />6. Approximate attendance at peak time: 30-40 Average Age: 30-35 Total Attendance: 300-350 <br />UTILITIES <br />Is potable water supplied and available for each food vendor: El Yes LII No <br />Is electricity supplied and available for each food vendor: rX Yes 111 No <br />Are janitorial facilities available: Yes fl No <br />Number of toilets provided: 5 <br />Name of sanitary garbage disposal company: Gilton Waste Management Number of dumpsters: 2 <br />Method of disposal of liquid waste for food booths: Bucket <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 $162 <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 />$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: C C°41'64/--- Date: 9/5/2024 <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I vvww.sjgov.org/ehd <br />EHD 16-02 Page 1 0111 TEMP EVENT APP <br />07/01/2024