Laserfiche WebLink
Date(s) of Event: <br />Location: <br />NOe ts t '2O24- OPnn - •p.r)r) <br />J . • <br />GENERAL EVENT Fl E\INFORMATION <br />1. Name of Event: Yi <br />Time of Event: <br />SAN JOAQUIN <br /> <br />Environmental Health Department <br />COUNTY <br />Grentness rolvs 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 />Event Coordinator (Name): -TrAn13 ir`(\k)...r\07t-t— Telephone: (2.04, dy--;\.0 <br />S CYLQ-vv(j Lan e A.{13cetA,,) ck.• <br />Number of Food Booths: <br />Approximate attendance at peak time: 300 Total Attendance: 377 C.) Average Age: 2! -i- <br />UTILITIES <br />Is potable water supplied and available for each food vendor: ['Yes No <br />Is electricity supplied and available for each food vendor: 0 Yes No <br />Are janitorial facilities available: 0 Yes No <br />Number of toilets provided: 4- <br />Name of sanitary garbage disposal company: C.-VC-1 Of Maf WA Number of dumpsters: <br />Method of disposal of liquid waste for food booths: <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 as a temporary event coordinator, I am responsible for meeting California State <br />standards and the Environmental Health Department policies and procedures. <br />Event Coordinato ref—. Date: 61 5124- <br />1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 I F 209 464-0138 I www.sjgov.org/ehd <br />END 16-02 Page 1 of 11 TEMP EVENT APP <br />06/29/2023 <br />Mailing Address: