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A -e-c-5-2-cron <br />(DO -2_0Liko ci <br />SAN JOAQUIN <br /> <br />Environmental Health Department <br />—COUNTY <br />Greatness grows 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: Music in the Park <br />Date(s) of Event: September 21, 2024 <br />Location: Central Community Park, Mountain House <br />Time of Event: 3:00-9:00Pm <br /> <br />Event Coordinator (Name): Laura Johnston Telephone: ( ) 209-831-5668 <br /> <br />Mailing Address: 251 E am treet, Mountain House, CA 95391 <br />Number of Food Booths <br />Approximate attendance at peak time: 1000 Total Attenda ce: 1,500 Average Ag 40 <br />UTILITIES <br /> Is potable water supplied and available for each food vendor: E Yes III No <br /> Is electricity supplied and available for each food vendor: LII Yes EI No <br /> Are janitorial facilities available: LI Yes El No <br /> Number of toilets provided: 5 <br /> <br /> <br />Name of sanitary garbage disposal company: West Valley Disposable Number of dumpsters: 1 <br />vendors will take with them 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 $162 <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 />$162 per hour (weekdays 8:00 am to 5:00 pm) Sa <br />After regular business hours (weekday, weekends and holidays) the inspection is charged at a <br />minimum three-hour overtime rate of $729.00 —1 —1 L1 — <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: Laura Johnston Date: 9/4 /24 <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 />06/29/2023