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<br />SAN JOAQUIN <br />COUNTY <br />Environmental Health Department <br /> <br />Greatness grows here. <br /> <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: Lodi High School Freshman Orientation <br />Date(s) of Event: 7-26-2024 Time of Event: 12:00 Pm <br />Location: 3 S. Pacific Ave, Lodi, CA 95242 <br />Event Coordinator (Name): Kiwanis of Greater Lodi Telephone: ( ) 209-570-3108 <br />Mailing Address: PO Box 761 Lodi CA 95241 <br />Number of Food Booths: 1 <br />Approximate attendance at peak time: 1200 pm Total Attendance: 450 <br /> <br />Average Age: 14 <br /> <br />UTILITIES <br />Is potable water supplied and available for each food vendor: 121Yes El No <br />Is electricity supplied and available for each food vendor: V1 Yes El No <br />Are janitorial facilities available: Yes 111 No <br />Number of toilets provided: 10 <br />Name of sanitary garbage disposal company: Central Valley Waste Number of dumpsters: 3 <br />Method of disposal of liquid waste for food booths: Self Contained <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 />7; <br />Event Coordinator: <br />7 <br />Date: 7-26-2024 <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 />END 16-02 Page 1 of 11 TEMP EVENT APP <br />06/29/2023