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Environmental Health Department <br />y/ie F&bhvd <br />Time of Event: 10AM - 4PM2. <br />3. <br />Telephone: () 747-234-17354. <br />5. <br /> Average Ag6. <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />APPLICATION <br />1. <br />2. <br /> Date: 02/27/2025 <br /> r r <br />Date(s) of Event: 03/07/2026 <br />Location: 18001 Commercial St, Lathrop, CA95330 <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 $179 <br />c) Temporary Food Vendors Applications for each booth <br />d) Temporary Event Site Plan <br />e) Food Vendor List <br />[MfYes <br />□ Yes <br />□ No <br />H'T'jo <br />□ No <br />ETYes <br />Event Coordinator (Name): Ravinder Kumar <br />Mailing Address: 16160 Escalade Ct, Lathrop, CA 95330 <br />Number of Food Booth^J <br />Approximate attendance at peak time: 400 <br />Event Coordinator: Render Kumar <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 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 />1. <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: 4 <br />Name of sanitary garbage disposal company: steam Academy School Number of dumpsters: <br />Method of disposal of liquid waste for food booths: Collect and seal in a container <br />SANJOAOUIN <br />------COUNTY------ <br />Greatness grows here. <br />TEMPORARY EVENT APPLICATION FEB 2 ? 2Q. <br />To be completed and signed by Event Coordinator, then returned to the Environmental HealtCTfc'p^rtyj^pt with all <br />of the Food Vendor’s Applications no later than two weeks prior to event <br />Name of Event: Rang Barse - Lathrop ki Holi 2026