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SAN JOAQUIN <br /> <br />Environmental Health Department <br />CMJNTY <br />Greatr,. jrows here. <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: St. Luke Catholic Church Parish Festival <br />Date(s)ofEvent: 09-07-24 / 09-08-24 Time of Event: 12PM - 9PM / 11AM - 8 PM <br />Location. 3847 N. Sutter Street, Stockton, CA 95204 <br />Event Coordinator (Name): Duane M. Blevins Telephone: (209) 988-0353 <br />MailingAddress. 5907 Melones Way, Stockton, CA 95219 or "Location" address above <br />Number of Food Booths: 10 + 1 prep kitchen <br />6. Approximate attendance at peak time: 1500 <br /> <br />Total Attendance 2000/34300 Average Age. 30 <br /> <br />UTILITIES <br />Is potable water supplied and available for each food vendor: EI Yes LII No <br />Is electricity supplied and available for each food vendor: Li Yes LI No <br />Are janitorial facilities available: III Yes D No (4)- 3 cu. yd. <br />Number of toilets provided 20 (school & gym) (1)- 7 cu. yd. <br />Name of sanitary garbage disposal company: Waste Management Number of dumpsters:(1) -30 Cu. yd. <br />Method of disposal of liquid waste for food booths: Recycle <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 Envir. mental Health Department policies and procedures. <br />Event Coordinator: Date: 08/08/2024 <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 />END 16-02 Page 1 of 11 TEMP EVENT APP <br />07/01/2024 <br />°R050 S'"LQ)