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Environmental Health Department <br />1. <br />Time of Event: 5-8pm2. <br />3. <br />Telephone: (209) 365-46054. <br />5. <br />4000 35 Average Age:6. <br />UTILITIES <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />APPLICATION <br />1. <br />2. <br />04/18/2025Date; <br />□ Yes <br />□Yes <br />□Yes <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 />□No <br />□No <br />^0 <br />Event Coordinator: <br />1868 E. Hazelton Avenue | Stockton, California 95205 | y 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />EHD 16-02 Page 1 of 11 TEMP EVENT APP <br />06/29/202 -----, <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: WM (Waste Management) <br />Method of disposal of liquid waste for food booths:Vendors responsibility <br />1 3 Number of dumpstersr <br />SAN JOAQUIN <br />-COUNTY— <br />Greatne^^ (jr <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 $162 <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 />• $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 Environmental Health <br />Department with all Food Vendor's Applications no later than two weeks prior to the 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 />GENERAL EVENT FILE INFORMATION <br />Name of Event: Lodi’s Certified Farmer’s Market <br />Date(s) of Event: May 15th- August 28Ih (Thursdays) <br />Location: Downtown Lodi <br />Event Coordinator (Name): Elizabeth Fillon <br />Mailing Address: 35 S. School Street Lodi Ca,95240 <br />Number of Food Booths: ^3 <br />Approximate attendance at peak time: 2000