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SAN J OAQ U I N Environmental Health Department <br /> C 01_I f\!T`� <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 /> GENERAL EVENT FILE INFORMATION <br /> 1. Name of Event: Lodi Street Faire <br /> 2. Date(s)of Event: Sunday, May 3M,2026 Time of Event:Lodi Street Faire <br /> 3. Location; Downtown Lodi <br /> 4. Event Coordinator(Name):Elizabeth Fillon Telephone:(209)365-4605 <br /> Mailing Address: 35 S.School Street Lodi Ca,95240 <br /> 5. Number of Food Booths: 75 <br /> 6. Approximate attendance at peak time: Q00 Total Attendance: 18 ,0 0 0 Average Age: 35 <br /> UTILITIES <br /> 1. Is potable water supplied and available for each food vendor: ❑Yes Do <br /> 2. Is electricity supplied and available for each flood vendor: RYes LNo <br /> 3. Are janitorial facilities available: rlYes rpo <br /> 4. Number of toilets provided: 24 <br /> 5. Name of sanitary garbage disposal company: WM (Waste Management) Number of dumpsters70-64 gallon <br /> 6. Method of disposal of liquid waste for food booths:Vendors responsibility 8-4yardaumpsters <br /> APPLICATION <br /> 1. Submit the following to the Environmental Health Department two weeks prior to the event:a)Temporary Event <br /> Application b)Application Review f=ee of$162 c)Temporary Food Vendors Applications for each booth d) <br /> Temporary Event Site Plan e) Food Vendor List <br /> 2• 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 <br /> a minimum three-hour overtime rate of $729.00 <br /> This application is to he completed and signed by the Event Coordinator, then returned to the Environmental Health <br /> Department with all Food Vendor's Applications no later than two weeks prior to the 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 /> Event Coordinator:fo,�W 04/02/2026 <br /> V e A �2& Date- <br /> 1868 E. Hazelton Avenue I Stockton,California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sjgov.org/ehd <br /> EHD 16-02 Page 10111 TEMP EVENT APP <br /> 66/29/242 <br /> 3 <br /> 20simtC3--4- <br />