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Environmental Health Department <br />1. <br />Varies 2:00PM - 9:00PMTime of Event:2. <br />3. <br />Telephone: (81 8)516-90394. <br />5.One <br />100 5-60 Average Age: Approximate attendance at peak time:Total Attendance:6. <br />2. <br />3. <br />4. <br />TBA Number of dumpsters: 5. <br />6. <br />APPLICATION <br />1. <br />2. <br />January 27th, 2026Date:Event Coordinator: <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 />□3 Yes <br />[0 Yes <br />|£] Yes <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 />1868 E. Hazelton Avenue | 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 APR <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 />UTILITIES <br />1. <br />SAN JOAQUIN <br />------COUNTY------- <br />Greatness grows here. <br />r <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: tanks, pumped as needed <br />GENERAL EVENT FILE INFORMATION <br />Name of Event: Circus Alegria <br />Date(s) of Event: February 12-16th, 2026 <br />Location: Lodi Grape Festival Grounds <br />Event Coordinator (Name): Char Frost <br />Mailing Address: <br />Number of Food Booths: One