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10/08/2018 02/1122: 48 2093335599 LAS PAGE <br />artment <br />2. <br />3. <br />4. <br />5. <br />6. Average Age: F-Total Attendance: <br />2. <br />3. <br />4. <br />APPLICATION <br />1. <br />2. <br />Event Coordinator: <br />'Oct. 9. 2018' 1 0:24AM’No. 4246 <br />5. <br />6. <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 $152 <br />c) Temporary Food Vendors Applications for each booth <br />d) Temporary Event Site Plan <br />e) Food Vendor List <br /> Yes <br /> Yes <br />0 Yes <br />X] No <br />0 No <br /> No <br />GENERAL EVENT FILE INFORMATION <br />1. <br />UTILITIES <br />1. <br />Number of dumpsters: <br />'if ' <br />F 209 464-01331 <br />07/3/17 <br />If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br />• $152 per hour (weekdays 8:00 am to 5:00 pm) <br />• After regular business hours (weekday, weekends and holidays) the inspection is charged at the <br />hourly rate, calculated at one and one half times ($228 per hour) <br />This application is to be completed and signed by the Event Coordinator, then returned to the <br />Environmental Health Department with all Food Vehdor’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 />Environmental <br />OCT 0 9 2018 <br />TEMPORARY EVENT APPLICATION^''^ A/f'" <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 />SAN JOAQUIN <br />-----COUNTY----- <br />Greatness grows here. <br />Name of Event: <br />Date(s) of Event: CJCt Time of Event: <br />Location: <br />Event Coordinator (Name): Telephone: <br />Mailing Address: 3./^ zA <br />Number of Food Booths:/_________ <br />Approximate attendance at peak time: <4^^ <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: