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SA N J OAQ U I N Environmental Health Department <br /> ' COUNTY <br /> Greatness grows here. <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: City of Tracy Block <br /> 2. Date(s) of Event: May 1, 2026 Time of Event: 6;00pm-9:0pm <br /> 3. Location: Front Street Plaza (6th & Central <br /> 4. Event Coordinator(Name): Amanda Jensen Telephone: (209) 831-6210 <br /> Mailing Address. 333 Civic Center Plaza, Tracy, CA <br /> 5. Number of Food Booths: 1 <br /> 6. Approximate attendance at peak time: 800 Total Attendan 1,000 Average Age: 35-50 <br /> UTILITIES 2 <br /> 1. Is potable water supplied and available for each food vendor: © Yes ❑ No <br /> 2. is electricity supplied and available for each food vendor: ® Yes ❑ No <br /> 3. Are janitorial facilities available: ® Yes ❑ No <br /> 4. Number of toilets provided: 10 <br /> 5. Name of sanitary garbage disposal company: Tracy Disposal Number of dumpsters: 2 <br /> 6. Method of disposal of liquid waste for food booths. NIA <br /> APPLICATION <br /> 1, 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 /> 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 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 /> Event Coordinator: Amanda E Date: 4/9/2026 <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 /> EHo 16-02 Page 1 of 11 TEMP EVENT APP <br /> oyrolr2nz5 <br />