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SAN JOAQUIN <br />Environmental Health Department <br />C 0 U N ' <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: FAHM FEST 2024 FILIPINO AMERICAN HISTORY MONTH <br />Date(s) of Event: SATURDAY, OCT 12, 2024 Time of Event: 11AM -6 PM <br />Location: DELTA COLLEGE 5151 PACIFIC AVE, STOCKTON CA 95207 <br />Event Coordinator (Name): Rhonda Ureta-Villalos <br /> <br />Telephone: ( ) 209-986-3871 <br /> <br />Mailing Address: do 10411 Arcata Ct, Stockton CA 95209 <br />Number of Food Booths: 10-15 <br />Approximate attendance at peak time: 11AM - 6 FA Attendance: 1,000 Average Age: All ages <br />UTILITIES <br /> Is potable water supplied and available for each food vendor: 0 Yes 111 No <br /> Is electricity supplied and available for each food vendor: 0 Yes No <br /> Are janitorial facilities available: 2 Yes El No <br /> Number of toilets provided: Multiple Bathrooms <br /> Name of sanitary garbage disposal company: Delta College Facility Number of dumpsters: 4 <br /> Method of disposal of liquid waste for food booths: <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 />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: Date: 8/6/2024 <br /> <br />1868 E. Hazelton Avenue I Stockton, California 95205 I T 209 468-3420 I F 209 464-0138 I www.sjgov.org/ehd <br />EHD 16-02 Page 1 of 11 TEMP EVENT APP <br />07/01/2024 <br />'1)1209-1-1117