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Environmental Health Department <br />1. <br />2. <br />3. <br />Telephone: (909) 687-67784. <br />5. <br />Total Attendance100-150 Persh9Werage Age: 356. <br />1. <br />2. <br />3. <br />34. <br />15. <br />6. <br />APPLICATION <br />1. <br />2. <br />11-12-2025Event Coordinator: Date: <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 $179 <br />c) Temporary Food Vendors Applications for each booth <br />d) Temporary Event Site Plan <br />e) Food Vendor List <br />Q Yes <br />0 Yes <br />3 Yes <br /> No <br /> No <br /> No <br />' I <br />If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br />• $179 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 $805.50 <br />This application is to be completed and signed by the Event coordinator, men returned to me <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 />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />EHO 16-02 Page lot 11 TEMP EVENT APR <br />07/01/2025 <br />GENERAL EVENT FILE INFORMATION <br />Name of Event: Circus Alegria " _______________________________ <br />Date(s) of EventPecember 4 - 29, 2025 Time of EventVaries 2:00 to 9:30 pm, see attached <br />Location: Promenade Shops, 1422 Grove Ave., Manteca <br />Event Coordinator (Name):Mark Landon <br />Mailing Address: 348 Esquina Dr., Henderson, NV 89014 <br />Number of Food Booths: One <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 />Approximate attendance at peak time: <br />^SANJOAQUIN <br />-----COUNTY------ <br />Greatness grows here. <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: We have our own dumpsteNumber of dumpsters: <br />Method of disposal of liquid waste for food booths: Tanks, to be pumped, as needed