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1 <br />Environmental Health Department <br />1. <br />9AM - 6PMTime of Event:.2. <br />3.209-565-0703)4. <br />5. <br />11AM6. <br />1. <br />2. <br />3. <br />8 <br />4.2_ Number of dumpsters:5. <br />6. <br />APPLICATION <br />1. <br />2. <br />This <br />RSZSMITH, CEO TRACY PRIDE JUNE 2025Date:E’ <br />25 <br />Mailing Address: <br />Number of Food Booths: <br />Approximate attendance at peak time: <br /> Yes <br /> Yes <br />0 Yes <br />i event coordinator, I am responsible for meeting California State <br />lealth Department policies and procedures. <br />\~ A o o <br />SAN JOAQUIN <br />------COUNTY------- <br />Greatness grows here <br />DELTA WASTE <br />DUMPSTERS <br />I 9 ' <br />S No <br />13 No <br /> No <br />GENERAL EVENT FILE INFORMATION <br />Name of Event: TRACY PRIDE "UNITED IN PRIDP <br />UTILITIES <br />Is potable water supplied and available for each food vendor: <br />Is electricity supplied and available for each food vendor: <br />Are janitorial facilities available: <br />Number of toilets provided: <br />Name of sanitary garbage disposal company: <br />Method of disposal of liquid waste for food booths: <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 />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov o^/ehd^ <br />EHD 16-02 Pagel of 11 <br />07/01/2024 <br />Total Attendance^ 300 <br />Submit the following to the Environmental Health Department two weeks prior to the event: <br />a) Temporary Event Application <br />b) Application Review Fee of $172 <br />c) Temporary Food Vendors Applications for each booth <br />d) Temporary Event Site Plan <br />e) Food Vendor List <br />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 />m ul/iii icccv. —L,.' ~j --’.J Evenf Coordinator, then returned to the <br />Zrtmentw'ith all Food^Vendor’s Applications no later than two weeks prior to the <br />TRACY PRIDE <br />Date(s) of Event: QCT 12 2025 <br />Location: LINCOLN PARK, TRACY, CA <br />Event Coordinator (Name): ANDREA JUAREZSMITH Telephone: ( <br />2455 N NAGLEE RD #310, TRACY, CA 95304 <br />application is to be completed and signed by the <br />1 __ . • < a a a r- . _ _f 1 J_ — /t »-x. <br />Environmental Heajindlem. <br />event. f <br />I understand (that as a temporary <br />standards andxhe EnvironmfentaJyH< <br />ANDREA J <br />t Coordinator: