Laserfiche WebLink
Environmental Health Department <br />grows <br />1.Name of Event: <br />Time of Event: 5:30-9:00pm2. <br />3. <br />4.Telephone: (702) 493-2894 <br />5. <br />300 Average Age: 1°-12 P|us Parents.75 Total Attendance:6.Approximate attendance at peak time: <br />1. <br />2. <br />3. <br />4. <br />1Number of dumpsters:5. <br />6. <br />APPLICATION <br />1. <br />2. <br />5/14/25Date:Event Coordinator: <br />Temporary Event Application <br />Application Review Fee of S172 <br />Temporary Food Vendors Applications for each booth <br />Temporary Event Site Plan <br />Food Vendor List <br /> Yes <br />EZ Yes <br /> Yes <br /> No <br /> No <br /> No <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 | www.sjgov.org/ehd <br />EHD 16-02 Page 1 of 11 TEMP EVENT APP <br />07/01/2024 __ <br />^093^10^ <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 />SANJOAOUIN <br />-----COU NTY------ <br />Greatness qrows here. <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 />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 />Submit the following to the Environmental Health Department two weeks prior to the event: <br />a) <br />b) <br />c) <br />d) <br />e) <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: Waste Mgmt <br />Method of disposal of liquid waste for food booths: Holding Tank <br />GENERAL EVENT FILE INFORMATION <br />American Crown Circus, Inc. <br />Date(s) of Event: June 19-22, 2025 <br />Location: 413 E Lockeford St, Lodi, CA 95241 <br />Event Coordinator (Name): *-eo Qsorio <br />Mailing Address: 4088 Pleasant Rd. Las Vegas, NV 89108 <br />Number of Food Booths: J