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SAN IJOAOUIN <br />—COUNTY— <br />Greatness grows here. <br />Pc_ \D 9 <br />FA 002.-7B(ob <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: Tracy Pride "All together Now" Event <br />October 13 2024 9am to 6pm 7am-8pm* Date(s) of Event: Time of Event: <br />Location: Tracy Lincoln Park - Eaton Ave, Tracy CA <br />Andrea JuarezSmith 209-565-0703 Event Coordinator (Name): Telephone: ( ) <br />2455 N Naglee Rd Ste 310, Tracy CA 95304 Mailing Address: <br />Number of Food Booths: <br />Approximate attendance at peak time: 11am Total Attendance: 200 Average Age: 21 <br />UTILITIES <br />Is potable water supplied and available for each food vendor: El Yes E No <br />Is electricity supplied and available for each food vendor: El Yes Ud No <br />Are janitorial facilities available: TA Yes 111 No <br />Number of toilets provided: 8 <br />Name of sanitary garbage disposal company: DELTA WASTE <br />Method of disposal of liquid waste for food booths: DUMPSTERS <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 />$162 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 $729.00 <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 mporary e coordinator, I am responsible for meeting California State <br />standards and the al ./!. I -pa entjT les and procedures. <br />?kw. <br />' <br />Event Coordinator: Date: Sept 5 2024 <br />Number of dumpsters: 2 <br />1868 E. Hazelton Avenue I St <br />EHD 16-02 <br />06/29/2023 <br />ia 952051 T 209 468-34201 F 209 464-0138 1 www.sjgov.org/ehd <br />Page 1 of 11 TEMP EVENT APP