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SANJOAQUIN Environmental Health Department <br />Name of Event Mountain House Diwali Mela 2024 <br />2. <br />3. <br />4.Telephone: (209) 607-4222 <br />5. <br />6.Total Attendance:40 <br />2. <br />3. <br />4. <br />5.Number of dumpsters: 5 <br />6. <br />APPLICATION <br />1. <br />2. <br />Event Coordinator Harry Dhillon Date; 10/05/2024 <br />Page 1 of 11 <br />Temporary Event Application <br />Application Review Fee of $172 <br />Temporary Food Vendors Applications for each booth <br />Temporary Event Site Plan <br />Food Vendor List <br />H Yes <br />I3 Yes <br />S Yes <br />□ No <br />□ No <br />□ No <br />msible for meeting California State <br />xedures. <br />Date(s) of Event 10/26/2024 Time of Event: 9am-6pm <br />Location: Central Park 25 Main St Mountain House CA 95391 <br />Event Coordinator (Name): Harry Dhillon <br />Mailing Address: 52 W. Fauna Ct. Mountain House CA 95391 <br />Number of Food Booths: _4 <br />Approximate attendance at peak time: 10QQ 11800 <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 />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: g <br />Name of sanitary garbage disposal company: West Valley Disposal Tracy <br />Method of disposal of liquid waste for food booths: Vendors Responsibility <br />UTILITIES <br />1. <br />GENERAL EVENT FILE INFORMATION <br />1. <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 />Average Agi <br />SANJOAOUIN <br />------COUNTY------- <br />Greatness grows 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 res| <br />standards and the Environmental Health Department policies and ( <br /> -/ <br />1868 E. Hazelton Avenue | Stockton, California 95205 | T 209 468-3420 | F 209 464-0138 I www.sjgov.org/ehd <br />Pa9e 1 of 11 TEMP EVENT APP07/01/2024