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S A N 1 O A Q U I N Environmental Health Department <br /> —COUNTY— <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 Comic Con <br /> 2. Date(s)of Event: October 25, 2025 Time of Event:11 am-5pm <br /> 3. Location: Lodi Grape Festival Grounds <br /> 4, Event Coordinator(Name):Mlke Millerick Telephone: ( ) 209-471-5478 <br /> Mailing Address: PO BOX 7202, Stockton, CA 95267 <br /> 5. Number of Food Booths: 8 <br /> 6. Approximate attendance at peak time: 2000 Total Attendance: 3000 Average Age: 20ish <br /> UTILITIES <br /> 1. Is potable water supplied and available for each food vendor: ❑ Yes ® No <br /> 2. Is electricity supplied and available for each food vendor: ❑ Yes ❑ No <br /> 3. Are janitorial facilities available: 0 Yes ❑ No <br /> 4. Number of toilets provided: 6 r-rooms with 6 per <br /> 5. Name of sanitary garbage disposal company: California Waste Number of dumpsters:4 <br /> 6. Method of disposal of liquid waste for food booths: City Sewer to <br /> APPLICATION <br /> 1. 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$156 <br /> c) Temporary Food Vendors Applications for each booth <br /> d) Temporary Event Site plan <br /> e) Food Vendor List <br /> 2. If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br /> • $156 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$702.00 <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 /> 1 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: <br /> Mike Millerick Date: 10-15-25 <br /> 1868 E. Hazelton Avenue i Stockton, California 95205 1 T 209 468-3420 I F 209 464-0138 1 www,sjgov.org/ehd <br /> EHD 1"2 Page 1 of 11 TEMP EVENT APP <br /> 06119/19 ,,^ <br />