Laserfiche WebLink
Environmental Health Department <br />GENERAL EVENT FILE INFORMATION <br />Name of Event: American Fare 1. <br />2. <br />3. <br />Telephone: (209) 371-6188.4. <br />5. <br />Approximate attendance at peak time: 300 Total Attendance: 400 Average Age: 296. <br />UTILITIES <br />1. <br />2. <br />3. <br />4. <br />Number of dumpsters: 10.5. <br />6. <br />APPLICATION <br />1. <br />2. <br />Date:3/3/2026Event Coordinator: Brent Kitsu <br />[>3 Yes <br /> Yes <br />KI Yes <br />a) <br />b) <br />c) <br />d) <br />e) <br /> No <br />K 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 Pagel of 11 —TEMP EVENT APR <br />07/01/2025 0 0 I I <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 />Date(s) of Event: Saturday May 2, 2026 Time of Event: 11:30am-2:00pm <br />Location: Appellation Lodi - Wine & Roses Resort and Spa <br />Event Coordinator (Name):Brent Kitsu <br />Mailing Address: 2505 W Turner Road Lodi, CA 95242 <br />Number of Food Booths: 10_____________________ <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: 10 <br />Name of sanitary garbage disposal company: WM Waste Management. <br />Method of disposal of liquid waste for food booths: <br />Submit the following to the Environmental Health Department two weeks prior to the event: <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 />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 />application is to be completed and signed by the Event Coordinator, then returned to theThis <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 />SAN JOAQUIN <br />-COU NTY- <br />Greotness grows here.-d^FOP-^