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Environmental Health Department <br />2. <br />3. <br />4. <br />5. <br />Total Attendanc^O 350 per sh^yeraqe Age;356. <br />2. <br />3. <br />54. <br />5.1 <br />6. <br />APPLICATION <br />1. <br />2. <br />7-27-25Event Coordinator: Date: <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 />Application Review Fee of $179 <br />Temporary Food Vendors Applications for each booth <br />Temporary Event Site Plan <br />Food Vendor List <br /> No <br /> No <br /> No <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 />Q Yes <br />!3Yes <br />L3 Yes <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 i of 11 TEMP EVENT APR <br />07/01/2025 <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 />We have our own dumpstelMumber of dumpsters: <br />Tanks, to be pumped, as needed <br />350Approximate attendance at peak time <br />GENERAL EVENT FILE INFORMATION <br />1. <br />UTILITIES <br />1. <br />SANJOAQUIN <br />-COUNTY-- <br />Greatness grows here. <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 la to bo complotod and algnod by the Evant Coordinator, than roturnod 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 eve/it coordinator, I am responsible for meeting California State <br />standards and the Environmenjal Healtlrc Department policies and procedures. <br />Name of Event: Circus Caballero <br />Date(s) of Event:September 25 - October 5 Time of Event: Varies Noon to 9:30 pm, see attached <br />Location: Promenade Shops, 1422 Grove Ave,, Manteca__________________________________ <br />Event Coordinator (Name):Mark Landon Telephone: ^09) 687-6778 <br />Mailing Address: 2534 S. Pleasant Ave., Ontario, CA 91761 <br />Number of Food Booths: One