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Environ mental Health Department <br />1. <br />Time of Event: NOON-MIDNIGHT2. <br />3. <br />Telephone: (209) 369-27714. <br />5. <br />Total Attendance: 7 0.000 Average Age: 4 5Approximate attendance at peak time: 10,0006. <br />1. <br />2. <br />3. <br />4. <br />Number of dumpsters: 1 45. <br />6. <br />APPLICATION <br />1. <br />2. <br />Date: JULY 17, 2024Event Coordinator: <br />1868 E Hazelton Avenue I 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 />06/29/2023 <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 />Event Coordinator (Name):MARK ARMSTRONG <br />Mailing Address: P.O. BOX 848 LODI, CA. 95241 <br />Number of Food Booths: 33 <br />Date(s) of Event: SEPTEMBER 12-15, 2024 <br />Location: 413 E. LOCKEFORD ST, LODI, CA. 95240 <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 />SAN JOAQUIN <br />Cfu.jK <br />Yes <br />[vfYes <br /> No <br /> No <br />[vfYes No <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: 55 <br />Name of sanitary garbage disposal company: CAL WASTE <br />Method of disposal of liquid waste for food booths: CITY SEWER <br />If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br />• S162 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 <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 />GENERAL EVENT FILE INFORMATION <br />Name of Event: LODI GRAPE FESTIVAL