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GENERAL EVENT FILE INFORMATION <br />Name of Event: LODI BEER FEST1. <br />Time of Event: 1PM-5PM2. <br />3. <br />LODI GRAPE FESTIVAL4. <br />5. <br />Average Age: 3020001500Total Attendance:Approximate attendance at peak time:6. <br />UTILITIES <br />1. <br />2. <br />3. <br />4. <br />5. <br />6. <br />APPLICATION <br />1. <br />2. <br />Date: <br />TEMP EVENT APRige 1 of 11EHD 16-02 <br />7/14/15 <br />Event Coordinator (Name): <br />Mailing Address: P.O. BOX 848, LODI, CA 95241 <br />Number of Food Booths: <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 $130 <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 />KI Yes <br /> No <br /> No <br /> No <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 />San Joaquin Count <br />Environmental Health Department <br />1868 East Hazelton Avenue, Stockton, CA 95205-6232 <br />Telephone: (209) 468-3420 Fax: (209) 464-0138 Web: www.sjgov.org/ehd <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: APRIL 23, 2016 <br />Location: LODI GRAPE FESTIVAL GROUNDS, 413 E. LOCKEFORD STREET LODI, CA <br />Telephone: (209) 369-2771 <br />If the event is selected for inspection, the Event Coordinator will be billed for inspection time: <br />• $130 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 ($195.00 per hour) <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: FOUR PERMANENT RESTROOMS <br />Name of sanitary garbage disposal company: CALIFORNIA WASTE Number of dumpsters:_4 <br />Method of disposal of liquid waste for food booths:CITY SEWER <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: <9. Date: